Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 33

Question 1

Type: MCMA

The nurse educator is instructing a group of students about the endocrine system. Which topics should the educator include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Thyroid glands
2. Parathyroid glands
3. Pancreas
4. Heart
5. Liver

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Page Number: 552

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 33-1 Describe the role of hormones in maintaining body homeostasis.

Question 2

Type: MCSA

The nurse is being educated on treatment of clients following a nuclear accident. Which statement by the nurse indicates that the objectives for the session have been met?

1. “Clients will be given potassium iodide tablets.”
2. “Iodine-131 will protect the client's vital organs.”
3. “Potassium iodide will provide protection if taken within days of a nuclear accident.”
4. “Radiation exposure can be treated with medications.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 558

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-6 Explain the pharmacologic management of thyroid disorders with thyroid and antithyroid agents.

Question 3

Type: MCSA

A client is being educated on monitoring the effects of thyroid medication. Which measurement will the client monitor to determine the effectiveness of the medication?

1. Blood pressure
2. Temperature
3. Respiratory rate
4. Pulse rate

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 559

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-5 Discuss the primary functions of the thyroid gland, and identify the signs and symptoms of hypothyroidism and hyperthyroidism.

Question 4

Type: MCSA

A client complains of slowed body metabolism, slurred speech, bradycardia, weight gain, low body temperature, and intolerance to cold environments. What diagnosis does the nurse expect based on these assessment findings?

1. Type II diabetes
2. Type I diabetes
3. Hypothyroidism
4. Hyperthyroidism

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 557

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-5 Discuss the primary functions of the thyroid gland, and identify the signs and symptoms of hypothyroidism and hyperthyroidism.

Question 5

Type: MCSA

A client complains of increased body metabolism, tachycardia, weight loss, high body temperature, and anxiety. Based on the assessment findings, what diagnosis does the nurse anticipate for this client?

1. Hypothyroidism
2. Type II diabetes
3. Type I diabetes
4. Hyperthyroidism

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 557

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-5 Discuss the primary functions of the thyroid gland, and identify the signs and symptoms of hypothyroidism and hyperthyroidism.

Question 6

Type: MCSA

What gland is responsible for releasing mineralocorticoids, glucocorticoids, and androgens?

1. The adrenal gland
2. The thyroid gland
3. The pituitary gland
4. The pancreas

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Page Number: 560

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 33-7 Explain important classes of hormones released from the adrenal cortex and their primary functions in the body.

Question 7

Type: MCSA

A client complains of hypoglycemia, fatigue, hypotension, and GI disturbances such as anorexia, vomiting, and diarrhea. Which diagnosis does the nurse suspect based on these assessment findings?

1. Hypoglycemic reaction
2. Hypothyroidism
3. Addison disease
4. Cushing syndrome

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 562

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8 Describe the signs and symptoms of Addison disease and Cushing syndrome, and explain the primary actions as well as the important adverse effects of corticosteroid drug therapy.

Question 8

Type: MCMA

Hydrocortisone (Cortef) has been prescribed for a client. Which diagnosis does the nurse anticipate could be made based on this prescribed medication? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Adrenocortical insufficiency
2. Intra-articular injections
3. Inflammation
4. Allergic disorders
5. Hyperthyroidism

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 563

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8 Describe the signs and symptoms of Addison disease and Cushing syndrome, and explain the primary actions as well as the important adverse effects of corticosteroid drug therapy.

Question 9

Type: MCSA

The physician has ordered medication to treat hyperthyroidism. Which medication does the nurse anticipate for this client?

1. Liotrix (Euthroid)
2. Levothyroxine (Levothroid)
3. Propylthiouracil (PTU)
4. Hydrocortisone (Cortef)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 559

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-6 Explain the pharmacologic management of thyroid disorders with thyroid and antithyroid agents.

Question 10

Type: MCMA

Why is hormone pharmacotherapy prescribed for clients? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. To promote anticancer metabolites
2. To produce an therapeutic advantage
3. For use as replacement therapy
4. To assist with an antineoplastic effect
5. For antihyperlipidemic effect

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 552 and 553

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-3 Categorize drugs used in the treatment of endocrine disorders based on their classifications and mechanisms of action.

Question 11

Type: MCSA

The nurse is caring for a client who is taking levothyroxine (Synthroid) and cholestyramine (Questran). Which reaction should the nurse monitor this client for when administering these medications?

1. Hypolipidemia
2. Hyperthyroidism
3. Hyperlipidemia
4. Hypothyroidism

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 559

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-6 Explain the pharmacologic management of thyroid disorders with thyroid and antithyroid agents.

Question 12

Type: MCSA

Which preparation of antidiuretic hormone (ADH) is occasionally used to treat enuresis?

1. Bromocriptine (Cycloset)
2. Vasopressin (Pitressin)
3. Betamethasone (Celestone)
4. Desmopressin (Stimate)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 555

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-4 Discuss the clinical applications of hypothalamic and pituitary drugs.

Question 13

Type: MCSA

Aside from having potent anti-inflammatory effects, glucocorticoids also promote homeostasis of which system?

1. Reproductive
2. Gastric
3. Hematopoietic
4. Cardiovascular

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 561

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8 Describe the signs and symptoms of Addison disease and Cushing syndrome, and explain the primary actions as well as the important adverse effects of corticosteroid drug therapy.

Question 14

Type: MCMA

Which adverse effects does the nurse anticipate for a client who is receiving long-term therapy with corticosteroids? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Delayed wound healing
2. Diarrhea
3. Increased risk for infections
4. Sodium retention
5. Hyperglycemia

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 564

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8 Describe the signs and symptoms of Addison disease and Cushing syndrome, and explain the primary actions as well as the important adverse effects of corticosteroid drug therapy.

Question 15

Type: MCSA

What is the primary function of the endocrine system?

1. Homeostasis
2. Temperature regulation
3. Blood pressure regulation
4. Secretion

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 551

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 33-1 Describe the role of hormones in maintaining body homeostasis.

Question 16

Type: MCSA

A client using corticosteroids for over 15 years is being seen in the emergency department for weight gain, fluid retention, and moon face. Which diagnosis does the nurse anticipate the client to have?

1. Addison disease

2. Cushing disease

3. Hyperparathyroidism

4. Hypothyroidism

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 554, 562, and 563

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-4 Discuss the clinical applications of hypothalamic and pituitary drugs.

Question 17

Type: MCSA

A client recently diagnosed with hypothyroidism returns to see the prescriber. The client has been taking levothyroxine (Levothroid), 100 mcg per day. The client tells the nurse that they feel anxious, that they are having trouble sleeping, and that they have lost 10 pounds. Which diagnosis does the nurse anticipate the client to have?

1. Addison Disease

2. Hyperthyroidism

3. Hyperparathyroidism

4. Anxiety

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 559

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-4 Discuss the clinical applications of hypothalamic and pituitary drugs.

Question 18

Type: MCSA

Which medications would be used for a client with hyperthyroidism?

1. Thyroid agents

2. Antithyroid agents

3. Corticosteroids

4. Hormone replacement

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 557 and 558

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-3 Categorize drugs used in the treatment of endocrine disorders based on their classifications and mechanisms of action.

Question 19

Type: MCSA

A nurse is teaching a client about the relationship between calcium and PTH levels. Which best describes negative feedback in the homeostasis of the endocrine system?

1. As serum calcium levels decrease, PTH is decreased.

2. As serum calcium levels fall, PTH is released.

3. As serum calcium levels remain constant, PTH is decreased.

4. As serum calcium levels increase, PTH is increased.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 551

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-2 Explain how hypothalamic and pituitary hormones influence other endocrine glands and body tissues.

Question 20

Type: MCMA

Which two endocrine structures control other endocrine glands? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Hypothalamus

2. Thyroid

3. Pancreas

4. Pituitary

5. Adrenal

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 551

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-2 Explain how hypothalamic and pituitary hormones influence other endocrine glands and body tissues.