ATI RN
Quiz Endocrine Reproductive System & Respiratory Drugs Questions
Question 1 of 5
A patient has been prescribed clomiphene citrate therapy by her doctor. The patient asks the nurse, How does my new medicine work?†What can the nurse say to convey the mechanism of action of clomiphene citrate therapy to this patient? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient is receiving a daily dose of NPH insulin
Correct Answer: D
Rationale: NPH insulin is an intermediate-acting insulin that typically peaks around 4-12 hours after administration. Since the patient is receiving a daily dose, the peak effect of NPH insulin would most likely occur around 10:30 a.m. This time frame aligns with the typical peak window for NPH insulin, making option D the correct answer.
Question 3 of 5
A patient is taking the urinary antiseptic methenamine for a urinary tract infection (UTI). The nurse understands that this drug should not be given concurrently with which other drug to avoid crystalluria?
Correct Answer: D
Rationale: Methenamine, which is a urinary antiseptic used to treat UTIs, can cause crystalluria when taken concurrently with drugs that have an acidic pH, such as trimethoprim-sulfamethoxazole. Trimethoprim-sulfamethoxazole can lower the pH of urine, leading to the formation of crystals in the urine which can potentially result in kidney damage. Therefore, it is important to avoid giving methenamine concurrently with trimethoprim-sulfamethoxazole to prevent this adverse effect.
Question 4 of 5
A patient with ulcerative colitis presents to your clinic with the classical signs of hyperglycemia. After doing all the necessary diagnostic workup, you diagnose the patient with type 2 Diabetes Mellitus. Which of the following antidiabetic drugs should NOT be given to this patient?
Correct Answer: D
Rationale: Miglitol is an alpha-glucosidase inhibitor, which is contraindicated in patients with inflammatory bowel disease (IBD) such as ulcerative colitis. This is because Miglitol causes undigested carbohydrates to accumulate in the intestines, which can exacerbate the inflammation and symptoms of IBD. Additionally, alpha-glucosidase inhibitors are also contraindicated in patients with renal failure. Therefore, Miglitol should not be prescribed to this patient, and alternative antidiabetic medications should be considered.
Question 5 of 5
Why are NaI and KI given to a patient before undergoing thyroidectomy?
Correct Answer: C
Rationale: Iodides (NaI and KI) are given before thyroidectomy to decrease the size and vascularity of the hyperplastic thyroid gland. This reduction in vascularity minimizes the risk of excessive bleeding during surgery. By shrinking the gland and reducing blood flow, iodides make the surgical procedure safer and more manageable. This preoperative preparation is crucial for ensuring a successful thyroidectomy with minimal complications.