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Unit 6: Endocrine & GI Drugs

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

When monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for as an indication that the medication therapy is successful?

a)

Increased insulin levels

b)

Decreased diarrhea

c)

Improved nasal patency

d)

Decreased thirst

2.

A patient is experiencing severe diarrhea, flushing, and life-threatening hypotension associated with carcinoid crisis. The nurse will prepare to administer which drug?

a)

octreotide (Sandostatin)

b)

vasopressin (Pitressin)

c)

somatropin (Humatrope)

d)

cosyntropin (Cortrosyn)

3.

When teaching a patient who has a new prescription for thyroid hormone, the nurse will instruct the patient to notify the prescriber if which adverse effects are noted? (Select all that apply.)

a)

Palpitations

b)

Weight gain

c)

Angina

d)

Fatigue

e)

Cold intolerance

4.

Which is the most appropriate timing regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?

a)

Give it 15 minutes before the patient begins a meal.

b)

Give it 1 hour before a meal.

c)

Give it 1 hour after a meal.

d)

The timing of the insulin injection does not matter with insulin lispro.

5.

A patient who has a new diagnosis of type 2 diabetes asks the nurse about a new insulin that can be inhaled. “Is there a reason I can't take that drug?” Which condition, if present in the patient, would be a concern?

a)

Atrial fibrillation

b)

Chronic lung disease

c)

Hypothyroidism

d)

Rheumatoid arthritis

6.

When monitoring for a therapeutic response to prednisone, the nurse will look for which potential outcome?

a)

Increased lymphocyte levels

b)

Decreased inflammation

c)

Increased growth characteristics

d)

Decrease in Cushing’s syndrome characteristics

7.

Which teaching is appropriate for a patient who is taking an inhaled glucocorticoid for asthma?

a)

“Exhale while pushing in on the canister of the inhaler.”

b)

“Blow your nose after taking the medication.”

c)

“Rinse your mouth thoroughly after taking the medication.”

d)

“Do not eat immediately after taking the medication.”

8.

Which is the correct action when the nurse is administering sucralfate?

a)

Giving the drug with meals

b)

Giving the drug on an empty stomach

c)

Instructing the patient to restrict fluids

d)

Waiting 1 1/2 hours before administering other drugs

9.

A patient has been receiving long-term antibiotic therapy as part of treatment for an infected leg wound. He tells the nurse that he has had “spells of diarrhea” for the last week. Which medication is most appropriate for him at this time?

a)

bismuth subsalicylate

b)

L. acidophilus

c)

diphenoxylate with atropine

d)

codeine

10.

A middle-aged woman is experiencing severe vertigo. The nurse expects this patient will receive which drug, which is considered the most appropriate drug treatment for vertigo?

a)

meclizine (Antivert)

b)

prochlorperazine (Compazine)

c)

metoclopramide (Reglan)

d)

dronabinol (Marinol)