Pharmacology 36-38, 57-59

After teaching a group of students about the effects of mineralocorticoids, the instructor determines that additional teaching is needed when the students identify what as an effect?

• Increased sodium reabsorption

• Water retention

• Increased calcium retention

• Increased potassium excretion

Which corticosteroid is classified as a mineralocorticoid?

• cortisol

• cortisone

• androgens

• aldosterone

A female client has a diagnosis of adrenocortical insufficiency and is steroid dependent. The client is to undergo surgery to remove her uterus. The nurse will explain to the client that in order to promote recovery after the stress of the surgery, her steroid dosage will be:

• the same.

• decreased.

• discontinued.

• increased.

During ongoing assessment, the nurse should observe a client taking levothyroxine for which sign(s) of therapeutic response? Select all that apply.

• Weight loss

• Mild diuresis

• Increased appetite

• Increased mental activity

• Decreased pulse rate

A patient with Paget's disease experiences bone pain after taking alendronate. Which response by the nurse would be most appropriate?

• "This pain should begin to subside after a few days to a few weeks."

• "This pain indicates that you need an increased dosage of the drug."

• "You need to make sure that you sit upright for 30 minutes after taking the drug."

• "You must be experiencing a severe increase in your calcium levels."

The nurse walks into the room of a client with type 1 diabetes and finds the client pale and diaphoretic. The client reports a headache and being hungry. Immediately, the client is unable to talk. After checking the blood sugar of the client and finding out that it is 50, what is the nurse's immediate intervention for this client?

• Administer regular insulin subcutaneously.

• Give 8 oz orange juice.

• Place glucose gel between the gums and cheek.

• Raise the head of the bed.

During ongoing assessment of clients receiving insulin detemir (Levemir), the nurse assesses the client for symptoms of hypoglycemia that include which symptoms? (Select all that apply.)

• Increased thirst

• Increased urination

• Headache

• Confusion

• Diaphoresis

A nurse must recognize the duration of insulin as to not cause harm to the client with administration of the improper type of insulin. Which insulins are long-acting insulin? (Select all that apply.)

• Insulin apart (NovoLog)

• Insulin lispro (Humalog)

• Insulin glargine (Lantus)

• Insulin detemir (Levemir)

• Insulin glulisine (Apidra)

A child is diagnosed with cystic fibrosis. Which medications will be prescribed for the client to be taken prior to consuming food?

• Cholestyramine (Questran)

• Cephalexin (Keflex)

• Vitamin D

• Pancrelipase (Cotazym)

Which antacids would the nurse identify as being contraindicated in clients with heart failure?

• Sodium bicarbonate

• Calcium carbonate

• Magnesium hydroxide

• Aluminum hydroxide