Question

1. Which drug therapy for an endocrine problem drug can cause pregnancy loss?

1. liothyronine sodium (Cytomel)
2. spironolactone (Aldactone)
3. mifepristone (Korlym)
4. mitotane (Lysodren)

2. Which precaution is most important to teach a patient who is taking hormone replacement therapy for hypothyroidism?

1. Take the drug at least 3 hours before or 3 hours after taking an oral fiber supplement.

2. Avoid aspirin and aspirin-containing products while on this therapy.
3. You can stop taking the drug as soon as you feel normal again.
4. Use reliable birth control methods while on this therapy.

3  A patient has been given an osmotic laxative as part of bowel preparation for a colonoscopy. How long does this drug usually take to have its effect?
1. 1 to 3 days
2. 30 minutes to 6 hours
3. 6 to 12 hours
4. 13 to 24 hours

4 A patient with liver failure has been given the drug Lactulose. What is the purpose of this drug in liver failure?

1. Lactulose decreases constipation in patients with liver failure.
2. Lactulose reduces the ammonia level in patients with liver failure.
3. Lactulose increases fluid volume in the stool to reduce constipation.
4. Lactulose also has a diuretic action that can decrease fluid in ascites.

5 A 67-yer-old patient has chemotherapy-related nausea and vomiting. She is prescribed dolasetron (Anzemet). When you are giving morning drugs, you notice that she is taking a selective serotonin reuptake inhibitor for chronic depression. What is the your best action?
1. Give the dolasetron and tell the patient she should stop taking her antidepressant.
2. Hold the dolasetron and contact the healthcare provider to notify him or her that the patient takes the antidepressant.
3. Give both the dolasetron and the antidepressant and monitor the patient for signs of serotonin syndrome.
4. Hold the dolasetron and give it later in the day so it does not interact with the antidepressant.

6  A patient with chronic constipation is prescribed psyllium (Fiberall). Which of the following statements by the patient shows a need for more teaching?
1. "I will take this drug with a full glass of water to prevent blockage in my esophagus."
2. "I understand that it takes a few days for this drug to work effectively."
3. "I may feel some nausea and abdominal cramping when I start taking this drug."

4. "This drug will replace my need for dietary fiber, so I can eat fewer fruits and vegetables."

7. Which of the following patients are most likely to require a stool softener for management of bowel movements? (Select all that apply.)
1. An 84-year-old woman who has moved into a skilled nursing facility after having a stroke.
2. A 64-year-old patient who states she has not had a bowel movement in a week and needs relief immediately.
3. A 62-year-old patient who recently underwent open heart surgery to replace a heart valve.
4. A 34-year-old pregnant woman with a prescription from her healthcare provider.

8 A nurse is teaching a patient about the loperamide prescribed for acute diarrhea. Which of the following statements should be included in the patient teaching? (Select all that apply.)

1. Loperamide will reduce the number of liquid stools that you are experiencing.
2. Make sure you take 4 mg (2 tablets) initially, then 2 mg by mouth after each unformed stool. Do not exceed 8 tablets per day.
3. This drug has an effect like opioid drugs, so you may have a "high" feeling while taking it.
4. If your diarrhea does not stop after 48 hours, notify your healthcare provider.
5. Loperamide helps decrease the motility of your bowel so there is more time for the body to absorb water and you will have a more formed stool.

1. liothyronine sodium (Cytomel)
2. spironolactone (Aldactone)
3. mifepristone (Korlym)
4. mitotane (Lysodren)

9  Which precaution is most important to teach a patient who is taking hormone replacement therapy for hypothyroidism?
1. Take the drug at least 3 hours before or 3 hours after taking an oral fiber supplement.
2. Avoid aspirin and aspirin-containing products while on this therapy.
3. You can stop taking the drug as soon as you feel normal again.
4. Use reliable birth control methods while on this therapy.

10 You are preparing an injection of Lantus insulin for a diabetic patient and you note that it appears cloudy. What action should you prepare to take?
1. Notify the pharmacy of the cloudy appearance.
2. Vigorously shake the vial to disperse the drug.
3. Give the insulin to the patient as scheduled.
4. Give a rapid-acting insulin instead because they are interchangeable.

. 11 A patient taking an NSAID tells you that the drug causes an upset stomach. What is your best response?
1. "Always take this drug with food or with milk."
2. "Stop taking the drug and notify your prescriber."

3. "Chew the drug instead of swallowing it whole."

4. "Take the drug at night so you will sleep through the upset."

Answer 1

1. Which drug therapy for an endocrine problem drug can cause pregnancy loss?

Answer is 4. mitotane (Lysodren). Mitotane is used to treat adrenocortical cancer and cushings syndrome. This drugs inhibit release of cortisol .The compound of drug is a metabolite of pesticide and DDT. It produce tetragenic effects leadds to pregnancy loss.  

1. liothyronine sodium (Cytomel)is a thyroid hormone supplement . It is prescribed for a pregnant women to prevent fetal loss, if women having hypothyroidsm.
2. spironolactone (Aldactone) ia drug of choice of pottasium sparing diuretics .
3. mifepristone (Korlym) is a drug used for inducing abortion.