Deck 47: Drugs Affecting the Parathyroid and Thyroid Glands

Question 1

The client with hyperparathyroidism will be started on drug therapy to increase excretion of calcium.The nurse anticipates an order for which of the following drugs?

A) Furosemide (Lasix)
B) Calcitonin (Miacalcin)
C) Etidronate (Didronel)
D) Pamidronate (Aredia)

Answer 1

Furosemide (Lasix)

Question 2

A client has started taking levothyroxine (Synthroid)for hypothyroidism.The nurse would assess the client for which of the following adverse effects?

A) Bradycardia
B) Dry skin
C) Nervousness
D) Cold intolerance

Answer 2

Nervousness

Question 3

The nurse teaches a client receiving Lugol iodine solution that which of the following foods would be contraindicated?

A) Milk
B) Soybeans
C) Apples
D) Corn

Answer 3

Soybeans

Question 4

The nurse warns a client that which of the following adverse effects should be expected during drug therapy with cinacalcet (Sensipar)?

A) Nausea and vomiting
B) Bone pain
C) Rising serum uric acid levels
D) Urinary stones

Question 5

In hypothyroidism,the nurse expects that which of the following to be the most appropriate goal for drug therapy?

A) To prevent concurrent hyperparathyroidism
B) To eliminate features of hypercalcemia
C) To restore primary function of the thyroid
D) To regain a normal physical and emotional state

Question 6

Which of the following nursing diagnoses is appropriate for the client who has received an overdose of thyroid hormone replacement therapy?

A) Fluid volume excess
B) Activity intolerance
C) Constipation
D) Imbalanced nutrition,less than body requirements

Question 7

The nurse would conclude that which of the following,if experienced by a client,is not a side effect associated with an underdose of thyroid replacement therapy?

A) Irritability
B) Headaches
C) Ataxia
D) Tiredness

Question 8

The nurse explains to a client that a newly prescribed drug,cinacalcet (Sensipar),will have which of the following actions?

A) Reduces serum phosphate levels
B) Increases serum calcium level
C) Decreases parathyroid hormone secretion
D) Reduces bone resorption

Question 9

The nurse understands that thyroid hormone concentration in the body is regulated by which of the following?

A) The hypothalamic anterior pituitary and the thyroid feedback mechanism
B) The posterior pituitary and the anterior pituitary modulation effect
C) The adrenal cortical and the posterior pituitary regulation system
D) The medullary pituitary and the cortical pituitary feedback system

Question 10

The nurse explains to the family of a client that which of the following types of drugs does not need to be avoided by the client taking a thyroid preparation?

A) Anticoagulants
B) Sympathomimetics
C) Antipyretics
D) Cholestyramine

Question 11

The nurse plans to do which of the following to avoid a serious adverse effect of zoledronic acid (Zometa)?

A) Give a daily diuretic at the same time
B) Increase oral fluids
C) Administer an antacid
D) Recommend acetaminophen (Tylenol)

Question 12

Which of the following would not be included by the nurse when teaching a client the 48- to 72-hour precautions associated with iodine-131 treatment of hyperthyroidism?

A) Separate washing of clothes,towels,and linens
B) Assessing postthyroid function with thyroxine examinations
C) Avoiding close contact with others within and outside the family
D) Not kissing anyone for 3 to 16 weeks

Question 13

The nurse teaches a client with osteoporosis beginning drug therapy with calcitonin (Miacalcin)that which of the following is an adverse effect of the parenteral dosage form?

A) Headache
B) Gastric distress
C) Muscle and back pain
D) Rhinitis

Question 14

A client with osteoporosis will be taking alendronate (Fosamax).The nurse teaches the client to do which of the following after taking the drug?

A) Avoid coffee or tea for 1 hour
B) Sit upright or stand for 30 minutes
C) Lie on the left side for 15 minutes
D) Immediately follow the dose with an antacid

Question 15

The nurse explains to a client beginning drug therapy with alendronate (Fosamax)that the drug should be taken

A) 1 hour before bedtime with any beverage of choice.
B) with an evening meal that includes a protein source.
C) one-half hour before breakfast with 8 oz water.
D) 1 hour after any meal.

Question 16

The clinic nurse looks to the results of which follow-up study to determine the effects of drug therapy with risedronate (Actonel)for a client?

A) Serum sodium level
B) Bone density measurements
C) Serum parathyroid hormone level
D) Liver function tests

Question 17

The nurse reading laboratory test results for a client with a malignancy notes that the calcium level is elevated.Which of the following drugs does the nurse anticipate will be used to treat the hypercalcemia based on its cytotoxic action?

A) Etidronate (Didronel)
B) Pamidronate (Aredia)
C) Plicamycin (Mithramycin)
D) Zoledronic acid (Zometa)

Question 18

The nurse assesses a client with osteoporosis beginning drug therapy with calcitonin (Miacalcin)for which of the following adverse effects of nasal therapy?

A) Epistaxis
B) Flushing
C) Tingling sensation of the ears
D) Nausea and vomiting

Question 19

A client has started drug therapy with etidronate (Didronel).The nurse determines that the client understands adverse drug effects when the client states that the drug can lead to which of the following?

A) Chills and fever
B) Sweet taste in the mouth
C) Constipation
D) Bone pain

Question 20

The nurse would monitor which of the following laboratory test results to detect a serious adverse effect of zoledronic acid (Zometa)?

A) Blood glucose
B) Serum creatinine
C) Uric acid level
D) Serum potassium

Question 21

A client is admitted to the hospital with thyroid storm (thyrotoxicosis).The nurse anticipates that which of the following drugs may be used to manage this condition?

A) Sodium iodide (¹³¹I)
B) Methimazole (Tapazole)
C) Propylthiouracil (PTU)
D) Strong iodide (Lugol's)solution

Question 22

The nurse suggests that a client taking levothyroxine (Synthroid)should take the dose at which of the following times?

A) Morning
B) Midday
C) Late afternoon
D) Bedtime

Question 23

The nurse is administering a liquid iodine product to a client.The nurse should give the drug in which of the following ways to administer it properly?

A) Before meals in a glass cup
B) Before meals in a paper cup
C) After meals through a straw
D) After meals in a polystyrene cup

Question 24

A client is taking levothyroxine (Synthroid)as treatment for hypothyroidism.The nurse determines that which of the following client manifestations is consistent with an underdose?

A) Heat intolerance
B) Lethargy
C) Weight loss
D) Diarrhea

Question 25

The nurse is working with a pediatric client who will begin drug therapy with levothyroxine (Synthroid).About which temporary adverse effect should the nurse warn the client and parents?

A) Gingivitis
B) Partial hair loss
C) Easy bruising
D) Muscle pain

Question 26

The nurse is reinforcing explanations about the use of radioactive sodium iodide (¹³¹I)to a client with thyroid cancer.The nurse explains that this drug will be used for how long to shrink the tumor before surgery?

A) 1 to 3 days
B) 4 to 7 days
C) 1 to 2 weeks
D) 2 to 4 weeks