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Pharm 2

THyroid and parathyroid drug therapy

QuestionAnswer
Which action enhances the effectiveness of levothyroxine for the patient with hypothyroidism? Using levothyroxine at a consistent time each day
Which description regarding the action of methimazole, a drug prescribed for hyperthyroidism, is accurate? Blocks thyroid hormone synthesis
Which action facilitates cinacalcet absorption? Giving with meals
Which phrase describes the goal of cinacalcet drug therapy? Decrease and normalize calcium levels.
A patient newly diagnosed with hyperthyroidism is pregnant. Which antithyroid drug should be used during first trimester? Propylthiouracil (PTU)
A nurse is preparing to administer levothyroxine. Which finding would require further assessment? Heart rate of 110 beats/min
A patient with diabetes is prescribed levothyroxine for hypothyroidism. Which action from the health care provider should the nurse anticipate occurring for this patient? An increase in the patients dose of insulin
In which time frame should patients expect full therapeutic response from levothyroxine? 3 to 4 weeks
A patient has a new prescription for propylthiouracil. Which instructions are important in relation to drug therapy? -"Stopping the drug suddenly is not recommended." -"Take antithyroid drugs with meals." -"This drug should not take amiodarone with the prescribed drug." -"Report a slow heart rate of below 60 beats per minute."
The nurse teaches the patient taking methimazole to report which symptom to the primary health care provider immediately? Sore throat
Which should be included in the discharge instructions for a patient taking levothyroxine? “You will need to have lab work done periodically.”
A patient has a new prescription for calcitriol. Which pre-administration assessment would the nurse complete? Survey the current serum calcium level.
An older female patient admitted to the hospital with fatigue, weight loss, and lack of appetite states that she has not been taking the prescribed calcitriol. Her serum calcium level 8.3 mg/day. Which focused assessment should the nurse complete? Observe for hand spasms when taking the blood pressure
Which rationale would the nurse provide for limiting high-fat foods in a patient prescribed cinacalcet for hyperparathyroidism? The drug effects are increased with high-fat foods.
Which phrase indicates therapeutic effectiveness of cinacalcet prescribed for hyperparathyroidism? Down trending of calcium blood levels toward normal
Created by: Lightnning54
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