Chapter 18: Hormones and Steroids

Chapter 18: Hormones and Steroids

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient is found to have hyperthyroidism. The health care provider wants to start the patient on medication before performing surgery and would most likely prescribe which medication?

a.	Propylthiouracil
b.	Thyroglobulin
c.	Liothyronine
d.	Levothyroxine

 

 

ANS:  A

Propylthiouracil is an antithyroid product used to treat hyperthyroidism or to improve hyperthyroidism in preparation for surgery or radioactive iodine therapy.

 

DIF:    Cognitive Level: Apply                   REF:   pp. 391-392 | Table 18-12

OBJ:   6                    TOP:   Antithyroid Products                       KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

2. In instructing a patient about corticosteroid therapy, the patient asks if he can just stop this medication before returning to the physician’s office. Which would be the nurse’s best response?

a.	“Take this medication until you’ve completed it.”
b.	“The medication must be slowly reduced.”
c.	“Go ahead; there is no real precaution with this drug therapy.”
d.	“The amount you’re taking is small, so stopping is all right at any time.”

 

 

ANS:  B

Corticosteroids cannot be stopped without tapering, or slowly reducing, the dose over time. Stopping the drug suddenly leads to steroid withdrawal syndrome.

 

DIF:    Cognitive Level: Apply                   REF:   p. 377             OBJ:   4

TOP:   Corticosteroids                                KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

3. A patient comes in with a bad case of poison ivy. He has been scratching the red, swollen area on his arm because it itches. The arm has become increasingly swollen over the last 3 days. The nurse anticipates the doctor is most likely to order what drug?

a.	Somatotropin
b.	A corticosteroid
c.	A mineralocorticoid
d.	Luteinizing hormone

 

 

ANS:  B

Corticosteroid hormones regulate glucose, fat, and protein metabolism and control the antiinflammatory response and the immune response system.

 

DIF:    Cognitive Level: Apply                   REF:   p. 375             OBJ:   3

TOP:   Adrenocortical Hormones                KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Physiological Integrity

 

4. A newly diagnosed type 2 diabetic patient is started on a new drug that comes from incretin hormones. Glucagon-like peptide 1 (GLP1) is used because of which effect?

a.	It has the least allergic effect.
b.	It is easy to administer.
c.	It inhibits glucagon secretion.
d.	It slows islet growth.

 

 

ANS:  C

The incretin that has received the most attention is GLP1. It regulates homeostasis and inhibits endogenous glucagon secretion.

 

DIF:    Cognitive Level: Remember            REF:   p. 369             OBJ:   1

TOP:   Antidiabetic Agents                         KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

5. A 56-year-old patient has had late-onset type 2 diabetes (NIDDM) for the past 5 years. He has been taking a variety of oral hypoglycemic agents, but his blood sugar level is getting higher. He comes in today with blurred vision, lethargy, polyuria, polyphagia, and polydipsia. Which therapy is the doctor most likely to recommend?

a.	Switching to another oral hypoglycemic agent because the patient has developed insulin resistance
b.	Switching to another oral hypoglycemic agent because the patient has developed the Somogyi effect
c.	Switching to another oral hypoglycemic agent because the patient has developed an allergy to the product
d.	Switching to insulin because the oral pills have been ineffective

 

 

ANS:  D

Patients with type 2 diabetes may require insulin because of oral antidiabetic agent failure or to give an additional glucose-lowering effect.

 

DIF:    Cognitive Level: Apply                   REF:   p. 362             OBJ:   1

TOP:   Antidiabetic Agents                         KEY:  Nursing Process Step: N/A

MSC:   NCLEX: Safe, Effective Care Environment: Coordinated Care