ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
A patient is diagnosed with type 2 diabetes mellitus. The nurse is aware that which statement is true about this patient?
Correct Answer: C
Rationale: The correct answer is C: Heredity and obesity are major causative factors. Type 2 diabetes mellitus is commonly associated with genetic predisposition and lifestyle factors such as obesity. Genetics play a significant role in the development of type 2 diabetes, and individuals with a family history of the disease are at higher risk. Obesity can lead to insulin resistance, a key factor in the development of type 2 diabetes. Choices A and B are incorrect as type 2 diabetes is more prevalent in adults than in teenagers or young children. Choice D is incorrect as viral infections are not the primary cause of type 2 diabetes.
Question 2 of 5
A type 1 Diabetes Mellitus patient whom you’ve been treating for a couple of years now presents to your clinic complaining about a recent episode of “unexplained†symptoms as stated by your patient. He tells you that he took his daily insulin shot, but was on a hurry so rushed his way to work without eating anything afterwards. When you ask him about the symptoms he experienced, he says that he is not really sure. What do you expect those symptoms to be based on this clinical scenario?
Correct Answer: A+B
Rationale: The correct answer is A (Palpitations) and B (Tremulousness and shaking). In this scenario, the patient took insulin without eating, leading to hypoglycemia. Palpitations occur due to the body's response to low blood sugar, and tremulousness and shaking are common signs of hypoglycemia. Choice C (Decreased sweating) is not typically associated with hypoglycemia. Choice D (None of the above) is incorrect because the patient's symptoms align with hypoglycemia due to skipping a meal after insulin administration.
Question 3 of 5
A stroke patient with cerebral edema presents to your clinic complaining from pain in his joints with apparent redness and swelling. You diagnose the patient with arthritis and decide to put him on a long term anti-inflammatory therapy. Which of the following drugs is best used in such a case?
Correct Answer: D
Rationale: The correct answer is D: Dexamethasone. This is a glucocorticoid with potent anti-inflammatory properties, making it effective for managing arthritis in a stroke patient with cerebral edema. Dexamethasone suppresses inflammation by inhibiting the release of inflammatory mediators. A: Hydrocortisone is a less potent corticosteroid compared to dexamethasone, making it less effective for long-term anti-inflammatory therapy in this case. B: Budesonide is primarily used for treating inflammatory bowel disease and asthma, not arthritis. C: Acetaminophen is a pain reliever and fever reducer but does not have significant anti-inflammatory effects like corticosteroids.
Question 4 of 5
Which of the following drugs if given in excessive amounts over long periods of time would result in a severely increased risk of infections and sepsis in the patient?
Correct Answer: D
Rationale: Rationale: Propylthiouracil is an antithyroid medication that can suppress the immune system over time, leading to an increased risk of infections and sepsis. It inhibits the production of thyroid hormones and can cause agranulocytosis, a condition characterized by a severe decrease in white blood cells, which are essential for fighting infections. Levothyroxine (A) is a thyroid hormone replacement drug, Glybenclamide (B) is an anti-diabetic medication, and Bromocriptine (C) is a dopamine agonist used to treat various conditions, none of which are associated with an increased risk of infections and sepsis.
Question 5 of 5
Which of the following drugs is most likely to induce hepatic injury?
Correct Answer: D
Rationale: The correct answer is D: Troglitazone. Troglitazone is known to induce hepatic injury due to its potential to cause liver toxicity. Troglitazone was withdrawn from the market due to its severe hepatotoxic effects. Ciglitazone, Pioglitazone, and Rosiglitazone are other thiazolidinediones, but they are not as strongly associated with liver injury as Troglitazone.