Chapter 15. Endocrine System Medications

Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins

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Chapter 15. Endocrine System Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The LPN is visiting a new mother and her infant. The mother says, “The doctor told us the baby has cretinism and will have to take hormone therapy.” The LPN identifies that which of the following hormone imbalances occurred during the pregnancy?

A. The mother’ body released too much cortisol.
B. The mother’s body did not release enough thyroid hormone.
C. The mother’s body released too much calcitonin.
D. The mother’s body did not release enough somatotropin.

 

 

____     2.   While shopping in the mall, the LPN notices a woman with bulging eyes. The LPN knows this condition is related to which of the following hormonal conditions?

A. Hyperthyroidism
B. Hypoparathyroidism
C. Hypothyroidism
D. Hyperparathyroidism

 

 

____     3.   An LPN working in a family practice office talks to a client who recently received sodium iodine 131 for the treatment of hyperthyroidism. Which of the following assessments by the nurse is best?

A. Determine if the client has been experiencing any hair loss.
B. Ask the client to report sleeping patterns since treatment.
C. Obtain a diet history for the past 24 hours.
D. Take the client’s vital signs and note any tachycardia.

 

 

____     4.   While providing morning medications, the LPN is aware that the risk of interactions is highest for a client taking levothyroxine (Levothroid) concurrently with which of the following?

A. Lanoxin (Digoxin)
B. Fluticasone (Flonase)
C. Granisetron (Kytril)
D. Insulin

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Endocrine System Medications

KEY:  Comprehension                               MSC:  NCLEX Category: Physiological Adaptation

NOT:  See Master the Essential Table and Medications for Thyroid and Parathyroid Disorders (p. 267–269; 269): A decrease in thyroid hormone secretion in utero and early infancy causes cretinism.

 

  1. ANS:  A                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Endocrine System Medications

KEY:  Comprehension                               MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Medications for Thyroid and Parathyroid Disorders (p. 267–269; 269): Hyperthyroidism results from an excess of thyroid hormone leading to Grave’s disease, characterized by bulging eyes.

 

  1. ANS:  D                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Endocrine System Medications

KEY:  Analysis         MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Drug Spotlight 15.1 (p. 267–269; 270): Radioactive iodine is given in the treatment of an over active thyroid. Side effects include nausea, vomiting, chest pain, tachycardia, and hypersensitivity. The most important assessment listed would be vital signs and determining if the client had experienced any chest pain. Hair loss is not expected. Sleep alterations are not expected. Diet history would only be relevant if the client was experiencing nausea and vomiting.

 

  1. ANS:  D                    PTS:   1                    DIF:    Hard

TOP:   Therapeutic Classification: Endocrine System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Medications for Thyroid and Parathyroid Disorders (p. 267-269; 269): Thyroid medications such as levothyroxine interact with adrenergics, insulin, oral anticoagulants, and oral hypoglycemic agents.

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