Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
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Chapter 37: Drugs Used to Treat Thyroid Disease
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| A. | Levothyroxine (Synthroid) |
| B. | Liotrix (Thyrolar) |
| C. | Propylthiouracil (Propacil) |
| D. | Liothyronine (Cytomel) |
ANS: C
| Feedback | |
| A | Levothyroxine is used to treat hypothyroidism. |
| B | Liotrix is used to treat hypothyroidism. |
| C | Propylthiouracil is an antithyroid agent used in the treatment of hyperthyroidism. |
| D | Liothyronine is used to treat hypothyroidism. |
DIF: Cognitive Level: Knowledge REF: 590
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Decrease in the daily digoxin dosage |
| B. | Gradual increase in the daily glycoside dosage |
| C. | Not able to begin thyroid replacement therapy because of the underlying heart condition |
| D. | Increased thyroid replacement dosage |
ANS: B
| Feedback | |
| A | Decreasing the digoxin would put the patient at risk for cardiovascular complications. |
| B | If thyroid replacement therapy is started while receiving digoxin, a gradual increase in the glycoside will also be necessary to maintain adequate therapeutic activity. |
| C | The two treatments can be coordinated. |
| D | The thyroid medication does not need to be increased. |
DIF: Cognitive Level: Application REF: 589
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Imbalanced Nutrition: More Than Body Requirements |
| B. | Constipation |
| C. | Disturbed Sleep Pattern |
| D. | Ineffective Airway Clearance |
ANS: C
| Feedback | |
| A | The patient with hyperthyroidism is likely to consume less than body requirements. |
| B | The patient with hyperthyroidism is not likely to be constipated as a result of the disease. |
| C | Hyperthyroidism is caused by an excess amount of thyroid hormones. Patients typically exhibit the following symptoms: rapid, bounding pulse (even during sleep), cardiac enlargement, palpitations, and dysrhythmias. Patients are nervous and easily agitated. Reflexes are hyperactive and the patient typically experiences insomnia. A nursing diagnosis of Disturbed Sleep Pattern would be a common problem. |
| D | Ineffective airway clearance is not a common problem of patients with hyperthyroidism. |
DIF: Cognitive Level: Analysis REF: 585
TOP: Nursing Process Step: Diagnosis
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
| A. | Stimulates the synthesis of T3 and T4 hormones |
| B. | Increases the storage of thyroxine before thyroid surgery |
| C. | Destroys hyperactive thyroid tissue |
| D. | Replaces deficient thyroid hormone |
ANS: C
| Feedback | |
| A | Radioactive iodine does not stimulate hormone synthesis. |
| B | Radioactive iodine does not increase hormone storage. |
| C | The thyroid gland absorbs high concentrations of radioactive iodine, which destroys the hyperactive thyroid tissue with essentially no damage to other tissues in the body. |
| D | Radioactive iodine does not replace deficient hormones. |
DIF: Cognitive Level: Comprehension REF: 589
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
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