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Chapter 43

NCLEX-RN® Review

NCLEX-RN® Review

This activity contains 10 questions.

	In the administration of an antidiuretic hormone, the nurse would recognize that which medication could be easily self-administered by a client?   Desmopressin (DDAVP) Vasopressin Somatotropin Glucocorticoids

	Myxedema, which includes fatigue, general weakness, and muscle cramps, is a symptom of which endocrine disorder treated with levothyroxine (Synthroid)?   Hyperthyroidism Hypothyroidism Cushing's syndrome Addison's disease

	Which drug causes increased risk for peptic ulcers, decreased wound healing, and increased capillary fragility?   Hydrocortisone (Cortef) Antidiuretic hormones Growth hormones Antithyroid hormones

	Which disease is characterized by increased body metabolism, tachycardia, increased body temperature, and anxiety, and treated with Prophylthiouracil (PTU)?   Hashimoto's thyroiditis Graves' disease Addison's disease Cushing's syndrome

	In the administration of hydrocortisone (Aeroseb-HC, Alphadern, Cetacort), it is vital that the nurse recognize that this drug might mask which symptoms?   Signs and symptoms of infection Signs and symptoms of heart failure Hearing loss Skin infections

	When hydrocortisone use is discontinued, the nurse must recognize the possibility of what side effect, if this drug is stopped abruptly?   Development of myxedema Circulatory collapse Development of Cushing's syndrome Development of diabetes insipidus

	A client who is taking levothyroxine (Synthroid) begins to develop weight loss, diarrhea, and intolerance. The nurse should be aware that this might be an indication of what hormonal condition?   Addison's disease Hyperthyroidism Cushing's syndrome Development of acromegaly

	Which organ is destroyed when administering radioactive I-131?   Pituitary gland Adrenals Parathyroid Hypothalamus

	Of what precautions should a client receiving radioactive iodine-131 be made aware?   Drink plenty of fluids, especially those high in calcium. Avoid close contact with children or pregnant women for one week after administration of drug. Be aware of the symptoms of tachycardia, increased metabolic rate, and anxiety. Wear a mask if around children or pregnant women.

	In the administration of a drug such as levothyroxine (Synthroid), the nurse must teach the client: (Select all that apply.)   Therapy could take three weeks or longer. Periodic lab tests for T4 levels are required. Report weight loss, anxiety, insomnia, and palpitations. Jaundice

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