Desmopressin acetate (DDAVP) is given to a patient with diabetes insipidus. Which of the following therapeutic response should you expect?
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Solution
Decreased urinary output.
The therapeutic response of this medication is decreased urine output because it promotes renal conservation of water.
Options A, B, and D are unrelated effect to this medication.
A nurse is giving instructions a patient who is taking levothyroxine (Synthroid). The nurse tells the client that the best time to take this medication is?
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Solution
Taken on an empty stomach.
Levothyroxine is taken on an empty stomach usually before breakfast to enhance the absorption.
A nurse is giving discharge instructions a patient who is taking levothyroxine (Synthroid). The nurse instruct the client to notify the physician if which of the following occurs?
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Solution
Tremors.
Excessive doses of levothyroxine can produce signs and symptoms of hyperthyroidism which includes heat tolerance, tremors, nervousness, tachycardia, chest pain, hyperthermia, and insomnia.
Options A, C, and D are signs of hypothyroidism.
A nurse is performing an assessment on a newly admit patient who is taking propylthiouracil (PTU) daily. The nurse suspects that the client has a history of?
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Solution
Grave’s disease.
Propylthiouracil inhibits the synthesis of thyroid hormone and is used to treat Grave’s disease or hypothyroidism.
Options A and B are disorders related to adrenal function.
Option D indicates hypothyroidism.
A nurse is instructing a client regarding intranasal Vasopressin (Pitressin). The nurse tells the client that which of the following is a side effect specific to the medication?
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Solution
Runny nose.
Vasopressin administered via intranasal route causes nasal congestion/Runny nose.
Options B, C, and D are the side effects of the medication administered intravenously.
Prednisone is prescribed for a client with diabetes mellitus who is using Humulin 70/30 daily. Which of the following prescription changes does the nurse expect during the therapy with the prednisone?
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Solution
Increased dosage of humulin 70/30.
Prednisone a glucocorticoid increases blood glucose level hence people with diabetes needs to increase the dosage of their insulin.
Options A, B, and D will not help the cause.
Which of the following medications decreases their action while taking thyroid hormone?
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Solution
Metformin.
Metformin, an oral hypoglycemic drug when taken with a thyroid hormone decreases their action.
Options B (anticoagulant), Option C (antidepressant) and Option D (sympathomimetic) increases their action when taken with a thyroid hormone.
A client with diabetes insipidus is taking antidiuretic hormone. Which of the following symptoms would alert the need to decrease the dosage?
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Solution
Drowsiness.
One of the side effects of taking antidiuretic hormone is water intoxication which is manifested by a headache, drowsiness, light-headedness, and shortness of breath. This could indicate the need to reduce the dosage.
Options A, B, and C are not related signs to this medication.
A nurse provide instructions to a client regarding the administration of the prednisone and instructs the client that the best time to take the medication is during?
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Solution
Early morning.
Prednisone is a corticosteroid (glucocorticoids) is administered early in the morning because it helps in reducing adrenal insufficiency and simulate the burst of glucocorticoids released naturally by the adrenal glands each morning.
Somatropin (Humatrope) is being given to a female patient with turner syndrome. Which of the following findings is associated with this medication?
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Solution
Mild hyperglycemia.
Somatropin (Humatrope) is a growth hormone. Excess growth hormone causes insulin resistance and hyperglycemia.
Option A: Elevated AST and ALT is expected.
Option C: Hypertension, not hypotension is a side effect.
Option D is not related symptom to this medication.