Pharmacology - Ch.23 Endocrine System Drugs Review
Quiz by Kathryn Barnett
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- Q1
Corticosteroids act on the immune system to treat __________________________.
At bedtime, with a sip of water.
30-60 minutes after breakfast
With breakfast
On an empty stomach 30-60 minutes before breakfast
30s - Q2
Insulin is administered parenterally because:
It is easier to monitor the dosage.
Parenteral dosing is tolerated better.
Insulin pills are difficult to swallow.
It is destroyed in the GI tract.
30s - Q3
Which of the following may potentiate the hypoglycemic effect of insulin?
Antidepressants
Corticosteroids
Alcohol
NSAIDs
30s - Q4
A client has come to the health medical center experiencing an acute allergic response to poison ivy exposure. Which of the following medications would MOST likely be administered?
Methylprednisone dose pack
Amiodarone
Metformin
Fluvoxamine
30s - Q5
When educating a client who has been prescribed long-term corticosteroids, which of the following should the healthcare practitioner caution the client about?
Avoiding abrupt discontinuation
Skin thickening
Eating yogurt cultures
Getting too much sleep
30s - Q6
A client who is obese tells the healthcare practitioner that her friend was recently placed on thyroid medication and lost weight. She asks the healthcare practitioner if she can take thyroid agents to help her lose weight. Which statement is the healthcare practitioner's BEST response?
Ask your friend if she has had any adverse side effects from the medication.
Try your friend's medication; if it works, perhaps the doctor will order it for you.
Thyroid agents are successfully used in most weight-reduction programs.
The use of thyroid agents for weight reduction is contraindicated, ineffective, and dangerous.
30s - Q7
A client receiving thyroid replacement therapy comes to the health clinic with complaints of heart palpitations, menstrual irregularity, and insomnia. The health care practitioner notes that she has exophthalmos. What could these signs indicate?
This may be related to a lack of sleep.
This most likely indicates non-compliance with the medication regime.
This is an indicator of an overdosage of thyroid medication.
This could indicate a return to normal thyroid function.
30s - Q8
A client has been prescribed an antithyroid agent to relieve the symptoms of hyperthyroidism in preparation for surgery. What severe but rare side effects of antithyroid agents should the health care practitioner educate the client to report?
Tremors
Alopecia
Rash
Palpitations
30s - Q9
A client with diabetes has arrived at the clinic for his regularly scheduled medication management appointment. He tells the health care practitioner that he has been extremely thirsty, has been urinating frequently, and has flu-like symptoms. The health care practitioner notes a fruity odor to his breath. What physical condition is this client most likely experiencing?
Hyperglycemia
Influenza
Hypoglycemia
Alcoholism
30s - Q10
A health care practitioner is caring for a client with a known diagnosis of diabetes mellitus. When the health care practitioner enters the client's room, she notes that the client is perspiring, irritable, confused, and acting in a bizarre manner. The health care practitioner suspects these may be symptoms of hypoglycemia and offers the client four ounces of orange juice, followed by a protein bar. Which of the following situations would NOT result in hypoglycemia?
Change in type of insulin
Overdose in insulin
Overeating
Excessive exercise
30s - Q11
A client is taking metformin (Glucophage), a biguanide oral antidiabetic agent, to treat Type 2 diabetes. Which symptom below is a known side effect of drugs in this class?
Metabolic alkalosis
Anorexia, Weight loss, and hypoglycemia
Constipation
Respiratory Acidosis
30s - Q12
When is insulin required for clients who have diabetes?
As replacement therapy for Type 1 diabetes and in clients with type 2 diabetes whose blood glucose is not controlled with diet or when illnesses develop.
For clients who have Type 2 diabetes.
All clients with diabetes, regardless of the type.
Only in clients who have Type 1 diabetes.
30s - Q13
What is the only type of insulin that can be administered intramuscularly, intravenously, and subcutaneously?
Isophane (NPH)
Lente
Regular
Garline (Lantus)
30s - Q14
What hormone is secreted by the Thyroid gland?
Insulin
T3 and T4
Corticosteroids
ACTH
30s - Q15
What hormones are produced by the Pancreas (Islets of Langerhans)?
Insulin
ACTH
T3 and T4
Corticosteroids
30s