A patient with hypothyroidism is given a script for levothyroxine (Synthroid). When the nurse explains
this is synthetic form of thyroid hormone. Patient states that he prefers more "natural" form of drugs.
What are the advantages of levothyroxine?
A. A synthetic form has fewer adverse effects on the GI tract
B. The half-life is long enough to permit one-daily dose.
C. Levothyroxine is less expensive than natural forms
D. It is stronger effect than the natural forms. Answer: B. The half-life is long enough to permit one-
daily dose.
During a teaching session for patient on anti thyroid drug, the nurse will discuss which dietary
instructions?
A. Restricting fluid intake to 2500 mL/day
B. Increase intake of sodium and potassium containing food.
C. Using iodized salt when cooking
D. Avoiding foods containing iodine Answer: D. Avoiding foods containing iodine.
When monitoring a patient response to oral antidiabetic drugs, the nurse knows that which lab result
would indicated a therapeutic response?
A. Fasting blood glucose level of 92mg/dL
B. Random blood glucose level of 180mg/dL
C. Blood glucose level of 50mg/dL after meals
D. Evening blood glucose level below 80mg/dL Answer: A. Fasting blood glucose level of 92mg/dL
A patient with type 2 diabetes is scheduled for oral endoscopy and has NPO since 0000. Best action
regarding administration of oral antidiabetic drug?
, A. Administer half the original dose
B. Withhold all meals as ordered
C. Give medication with sip of water
D. Contact prescriber for further orders. Answer: D. Contact prescriber for further orders.
Nurse is teaching about management of diabetes mellitus. Which statement about basal dosing is
correct?
A. Glargine insulin is given as a bolus with meals.
B. Basal-bolus dosing is the traditional method of managing blood glucose.
C. Basal dosing delivers a constant dose of insulin
D. With basal dosing you can eat what you want and then give yourself a dose of insulin Answer: C.
Basal dosing delivers a constant dose of insulin
Patient calls clinic for ineffective cimetidine (Tagmet) for hyperactivity. Nurse reviews history and notes
which factor maybe influencing this?
A. He takes an antacid 3 hours after cimetidine
B. He takes cimetidine with meals
C. He smokes 2 packs a day
D. He drinks a glass of water with each dose. Answer: C. He smokes 2 packs a day
Patient has alot of painful gas. Which medication is administered for this problem?
A. Calcium Carbonate (Tums)
B. Famotidine (Pepcid)
C. Aluminum hydroxide and magnesium hydroxide (Maalox or Mylanta)
D. Simethicone (Mylicon) Answer: D. Simethicone (Mylicon)
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