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pharm chapter 43
chapter 43
24
Pharmacology
Undergraduate 1
11/01/2011

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Term
The nursing instructor teaches the student nurses about the endocrine system. The nursing instructor evaluates that learning has occurred when the student nurses make which statement(s)? Select all that apply.
Definition
1."The endocrine system is a major controller of homeostasis."
2."The hypothalamus secretes releasing hormones."
3."Hormones released by the endocrine system influence every organ in the body."
4.The pituitary gland secretes TSH (thyroid stimulating hormone)."
Term
The nursing instructor teaches the student nurses about negative feedback as a feature of calcium homeostasis in the endocrine system. Identify the steps, in order, of this mechanism.
Definition
1.The parathyroid glands shut off PTH (parathyroid hormone) secretion.
2.Serum calcium levels fall.
3.PTH (parathyroid hormone) increases serum calcium.
4.PTH (parathyroid hormone) is released.
Term
The client is very distraught that her son is of very short stature. What is the best plan by the nurse?
Definition
Tell the client that treatment with growth hormone might help, and refer her to an endocrinologist.
Term
The client has diabetes insipidus and receives vasopressin (Pitressin).DThe nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
Definition
"This medication increases water reabsorption in my kidneys."
Term
The client has been diagnosed with Cushing's syndrome. What will the best
assessment by the nurse reveal?
Definition
Upper body obesity and thinning of the arms and legs.
Term
The client has been diagnosed with diabetes insipidus. What will the best plan of the nurse include?
Definition
Assess for increased urine production.
Term
The client has hypothyroidism and is treated with levothyroxine (Synthroid). The nurse plans to do medication education. What will the best plan of the nurse include?
Definition
Assess for altered sleep patterns
Term
The elderly client has hypothyroidism. Which assessment finding would the nurse report to the physician immediately?
Definition
Atrial fibrillation
Term
The client receives treatment with radioactive iodine (Iodine-131) therapy. What will the best evaluation by the nurse reveal?
Definition
The client will most likely require thyroid replacement therapy.
Term
The client has hyperthyroidism. The nurse teaches the client to avoid which food selections?
Definition
Soy sauce
Term
The client receives hydrocortisone therapy. The nurse will primarily assess for which electrolyte disturbance?
Definition
Hypernatremia and hyperglycemia
Term
The client receives glucocorticoid therapy. What will the best assessment of the nurse reveal?
Definition
Hypertension
Term
The client receives aminogluthethimide (Cytadren) therapy. What evaluation
criteria will the nurse report to the physician?
Definition
The client has been on the therapy for four months.
Term
The nurse teaches the client about glucocorticoid therapy.DThe nurse evaluates that additional teaching is required when the client makes which statement?
Definition
"I can take the medication at any time as long as I don't forget it."
Term
The nurse plans to administer intranasal desmopressin (DDAVP) to the client.
What will the best plan of the nurse include?
Definition
Rotation of nares must be documented on the medication administration record
(MAR).
Term
Negative feedback loop ensures endocrine homeostasis by:
Definition
Inhibiting secretion from the first hormone.
Term
Vasopressin is used in the treatment of:
Definition
Diabetes insipidus.
Term
The function of the thyroid gland is to:
Definition
Control basal metabolism.
Term
Which of the following is a sign or symptom of hypothyroidism?
Definition
Bradycardia
Term
The primary goal of pharmacotherapy in hyperthyroidism (Graves' disease) is to:
Definition
Lower the activity of the thyroid hormone.
Term
Which of the following is a symptom of Cushing's syndrome?
Definition
Moon face
Term
In the client taking thyroid agents, the nurse will assess for which adverse effect?
Definition
Weight loss
Term
The mechanism of action of antithyroid drugs is to:
Definition
Interfere with synthesis of thyroid hormones.
Term
The mechanism of action of anterior pituitary agents, such as vasopressin (Pitressin), is to:
Definition
Cause renal tubules to increase permeability to water.
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