Nokea
A nurse is teaching a client who has Graves' disease about her prescribed medications. Which of the following statements by the client indicates an understanding of the use of Propranolol in the treatment of Graves' disease?
- A. Propranolol helps increase blood flow to my thyroid gland.
- B. Propranolol is used to prevent excess glucose in my blood.
- C. Propranolol will decrease my tremors and fast heart beat.
- D. Propranolol promotes a decrease of thyroid hormone in my body
Correct Answer: C
Rationale: Propranolol reduces tremors and tachycardia in Graves' disease by blocking beta-adrenergic effects.
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A man is given a drug to reduce thyroid gland size and vascularity before surgical thyroidectomy. Which mechanism is responsible for its use in this setting?
- A. inhibition of the sodium/iodide symporter
- B. inhibition of thyroperoxidase
- C. inhibition of TSH secretion
- D. inhibition of thyroid hormone release
Correct Answer: D
Rationale: Inhibition of thyroid hormone release (e.g., by iodides) reduces gland size and vascularity pre-surgery.
Patient education regarding taking iron replacements includes:
- A. Doubling the dose if they miss a dose to maintain therapeutic levels
- B. Taking the iron with milk or crackers if it upsets their stomach
- C. Iron is best taken on an empty stomach with juice
- D. Antacids such as Tums may help the upset stomach caused by iron therapy
Correct Answer: C
Rationale: Iron absorption is best on an empty stomach with juice; milk or antacids reduce absorption, and doubling risks toxicity.
The study of dose, distribution, metabolism & excretion of drugs in the body is known as
- A. Pharmacognosia
- B. Pharmacodynamics
- C. Dose effective study
- D. Pharmacotherapy
Correct Answer: B
Rationale: Pharmacodynamics studies drug effects, but pharmacokinetics (dose, distribution, metabolism, excretion) is more specific here; likely a typo in the document.
Flushing occurs when alcohol is taken along with
- A. Phenformin
- B. Chlorpropamide
- C. Glibenclamide
- D. Tolbutamide
Correct Answer: B
Rationale: Chlorpropamide causes a disulfiram-like reaction with alcohol, leading to flushing.
Which priority action should be implemented when hives are assessed on a patient started on a new medication?
- A. Notify physician of allergic reaction
- B. Notify physician of idiosyncratic reaction
- C. Notify physician of potential teratogenicity
- D. Notify physician of potential tolerance
Correct Answer: A
Rationale: Hives indicate an allergic reaction (hypersensitivity), requiring immediate physician notification for management.