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Pharm - Endocrine/ Pain Quiz

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Quiz on Endocrine/ Pain Quiz, created by April Woodland on 02/13/2018.
April Woodland
Quiz by April Woodland, updated more than 1 year ago
April Woodland
Created by April Woodland almost 7 years ago
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Resource summary

Question 1

Question
If a patient has Type 1 Diabetes, what type of medication would you expect the patient to be on?
Answer
  • Oral diabetic drugs
  • No drugs, healthy diet and excercise
  • Insulin
  • oral diabetic drugs and insulin

Question 2

Question
A patient newly diagnosed with Type 1 Diabetes asks what causes this to happen, what response should the nurse reply with?
Answer
  • The cause is unknown
  • The body has become resistant to the insulin produced by the pancreas
  • The pancreas can not produce insulin properly
  • the pancreas has stopped working completely

Question 3

Question
Type 2 diabetes is caused by what?
Answer
  • insufficient production of insulin
  • the body becomes resistant to insulin
  • there is no known cause
  • pancreas stops working completely

Question 4

Question
What are the options for treating Type 2 Diabetes? (select all that apply)
Answer
  • Change in diet and exercise
  • No treatment available
  • Oral Medications
  • Insulin

Question 5

Question
What are some risk factors for getting Type 2 Diabetes?
Answer
  • Age , race
  • obesity, limited physical activity
  • Sex
  • family history of diabetes
  • Gestational Diabetes

Question 6

Question
When looking for signs of Diabetes, What is Polydipsia?
Answer
  • excessive eating
  • increased urination
  • excessive thirst
  • dehydration

Question 7

Question
What is polyphagia?
Answer
  • excessive eating
  • excessive thirst
  • increased urination
  • dehydration

Question 8

Question
What is Polyuria?
Answer
  • dehydration
  • excessive thirst
  • excessive eating
  • increased urination

Question 9

Question
What does insulin regulate?
Answer
  • how glucose gets into cells and how its used
  • cell growth
  • how glucose is stored and made
  • The pancreas

Question 10

Question
What does Insulin treat? (select all that apply)
Answer
  • Type 1 Diabetes
  • Type 2 Diabetes
  • Diabetic Ketoacidosis
  • Hypokalemia

Question 11

Question
What are the major adverse reactions of Insulin? (select all that apply)
Answer
  • Hypoglycemia
  • Hyperglycemia
  • fever
  • heart attack

Question 12

Question
What is an example of rapid acting insulin?
Answer
  • regular insuilin
  • humalog/Novalog
  • humulin
  • Lantus/Levemir

Question 13

Question
what is an example of short acting insulin?
Answer
  • humalog/novalog
  • regular insulin
  • Humulin
  • levemir/lantus

Question 14

Question
what is an example of intermediate Insulin?
Answer
  • humalog
  • NPH insulin
  • humulin
  • lantus

Question 15

Question
What is an example of a long acting insulin?
Answer
  • lantus/levemir
  • novalog/humalog
  • humulin
  • NPH

Question 16

Question
What are some methods for giving insulin? (select all that apply)
Answer
  • Jet injections (pens)
  • implants
  • disposable needles and syringes
  • insulin pumps

Question 17

Question
how long can insulin be stored room temperature once opened?
Answer
  • 60 days
  • 90 days
  • 30 days
  • 15 days

Question 18

Question
With pregnancy when should you check blood sugars?
Answer
  • After meals
  • before meals
  • only in the morning
  • only in the evening

Question 19

Question
When should you check blood sugars with a non pregnant patient?
Answer
  • after meals
  • before meals
  • only in the morning
  • only in the evening

Question 20

Question
What are some signs of hypoglycemia? (select all that apply) '
Answer
  • lethargy
  • jittery/shakes
  • sweating
  • acting intoxicated

Question 21

Question
In a hypoglycemic episode, what should you do first if a gag reflex is not present?
Answer
  • administer glucagon IM injection
  • Call the physician
  • have patient drink milk
  • reposition patient

Question 22

Question
how long does glucagon last ?
Answer
  • two hours
  • fifteen minutes
  • half an hour
  • 4 hours

Question 23

Question
during a hypoglycemic attack, what would your first choice of drink to give the patient, if gag reflex is present?
Answer
  • milk
  • orange juice
  • soda
  • water

Question 24

Question
What are some signs of Hyperglycemia? (select all that apply)
Answer
  • The 3 P's
  • irritablility
  • lethargy
  • altered mental status

Question 25

Question
What causes Diabetic Ketoacidosis?
Answer
  • Lactic acid build up
  • sugar too high
  • sugar too low
  • pancreatic cancer

Question 26

Question
How do we treat diabetic ketoacidosis? (select all that apply)
Answer
  • Lots of fluids
  • low doses of insulin
  • oral antidiabetic drugs
  • pain killers

Question 27

Question
How often does a diabetic patients A1C get tested?
Answer
  • every three months
  • weekly
  • once a month
  • twice a year

Question 28

Question
during preadministration assessment, what do we asses? (select all that apply)
Answer
  • Injection sites (must rotate)
  • check mucous membranes (for dehydration)
  • Check wounds/ extremities

Question 29

Question
what is the most serious side effect of sulfonylureas?
Answer
  • hyperglycemia
  • hypoglycemia
  • diabetic ketoacidosis
  • hypotension

Question 30

Question
How do you check for the effectiveness of the therapy?
Answer
  • A1C levels stable
  • Blood sugars are "normal"
  • stable blood pressures
  • no need for insulin anymore

Question 31

Question
When do you give sulfonylureas?
Answer
  • 30 minutes before meals
  • 30 minutes after meals
  • a hour before meals
  • a hour after meals

Question 32

Question
What are adverse effects of metformin ? (select all that apply)
Answer
  • excessive weight loss
  • hyperventilation
  • jittery/shakes
  • diarrhea

Question 33

Question
Metformin should be taken with meals, but how often should it be taken?
Answer
  • one time a day, every morning, with meals
  • three times a day, with meals
  • one time a day, every evening, with meals
  • once a week, with meals

Question 34

Question
Where is the pituitary gland located?
Answer
  • In the brain
  • in the neck
  • in the heart
  • in the stomach

Question 35

Question
What does the anterior pituitary gland excrete? (select all that apply)
Answer
  • Thyroid stimulating hormone
  • gandotropins
  • vasopressin
  • growth hormone

Question 36

Question
When taking metformin you need to monitor for mental changes, such as suicidal thoughts
Answer
  • True
  • False

Question 37

Question
What does the posterior pituitary gland excrete? (select all that apply)
Answer
  • vasopressin
  • oxytocin
  • FSH
  • TSH

Question 38

Question
Which sex does hypothyroidism effect more?
Answer
  • male
  • female

Question 39

Question
The thyroid gland excretes what to control metabolism? (select all that apply)
Answer
  • T3
  • T4
  • T6
  • T7

Question 40

Question
What are some symptoms of a thyroid storm? (select all that apply)
Answer
  • increased heart rate
  • diaphoresis
  • altered mental status
  • fever
  • irritability

Question 41

Question
What other medication can not be taken with synthroid?
Answer
  • omeprazole
  • lisinopril
  • beta blocker
  • tramadol

Question 42

Question
What are some signs that you are getting too much hypothyroid medications? (select all that apply)
Answer
  • weight loss
  • palpations
  • diaphoresis
  • anxiety

Question 43

Question
when receiving radioactive isotopes what must we watch for?
Answer
  • Hyperthyroidism
  • hypothyroidism

Question 44

Question
When a patient is receiving radioactive isotopes we must be cautious with the patients urine
Answer
  • True
  • False

Question 45

Question
What is the most common salicylate?
Answer
  • Aspirin
  • acetaminophen
  • ibuprofen
  • morphine

Question 46

Question
What is the most common nonsalicylate?
Answer
  • aspirin
  • acetaminophen
  • ibuprofen
  • morphine

Question 47

Question
What actions do Aspirin have? (Select all that apply)
Answer
  • antipyretic
  • anti-inflammatory
  • analgesic
  • antiplatelet

Question 48

Question
When taking Aspirin , What do we asses for bleeding?
Answer
  • emesis and stool
  • emesis
  • stool
  • Blood levels

Question 49

Question
If you allergic to aspirin you are also allergic to what other medication?
Answer
  • NSAIDS
  • acetaminophen
  • morphine
  • tramadol

Question 50

Question
Kids should not take aspirin with what condition
Answer
  • scarlet fever
  • strep throat
  • chicken pox
  • the flu

Question 51

Question
Aspirin is safe for pregnancy
Answer
  • True
  • False

Question 52

Question
What actions does acetaminophen have ? (select all that apply)
Answer
  • analgesic
  • anitpyretic
  • anti-inflammatory
  • anticoagulant

Question 53

Question
Is acetaminophen safe for pregnancy and kids?
Answer
  • yes
  • no

Question 54

Question
What is the recommended max amount of acetaminophen in one day?
Answer
  • 3000-4000 mg
  • 2000-3000 mg
  • 4000-5000 mg
  • 1000- 2000 mg

Question 55

Question
What actions do NSAIDS have ? (Select all that apply)
Answer
  • Anti-inflammatory
  • Analgesic
  • Antipyretic
  • Sports injuries
  • Musculoskeletal diseases

Question 56

Question
NSAIDS can cause which blood cells to decrease (select all that apply)
Answer
  • White blood cells
  • Red blood cells
  • Osteoclasts
  • Thrombocytes

Question 57

Question
What does Tylenol increase the risk of in the elderly population?
Answer
  • Ulcers
  • Hypertension
  • Hypoglycemia
  • Hyperglycemia

Question 58

Question
Taking Tylenol with what other medication increases the chance for a certain toxicity ?
Answer
  • Lithium
  • Tylenol
  • Liver
  • Kidney

Question 59

Question
What are some adverse reactions to NSAIDS? (Select all that apply )
Answer
  • Jaundice
  • Drowsiness
  • N/v/d
  • Dry mouth
  • Decreased urine output

Question 60

Question
Migraines cause the blood vessels to dilate or spasms of the vessels to occur
Answer
  • True
  • False

Question 61

Question
What do migraine medications do?
Answer
  • vasoconstrict
  • vasodilate

Question 62

Question
taking what medication with migraine medications can increase how well the migraine medication works? (which is not a good thing)
Answer
  • oral contraceptives
  • antihypertensives
  • antidiabetics
  • antiemetics

Question 63

Question
How do opioids work in the brain?
Answer
  • tells the brain there is pain
  • tells the brain that there is no pain
  • tells the brain to secrete serotonin
  • tells brain to vasoconstrict

Question 64

Question
The alteration of chemicals in the brain when taking opioids is what causes dependency of the drug
Answer
  • True
  • False

Question 65

Question
what is the major adverse reaction to observe for when patient is on an opioid?
Answer
  • hypotension
  • hypertension
  • respiratory depression
  • hyperglycemia

Question 66

Question
what must be monitored when low dose opioids are administered during labor?
Answer
  • mom and babys heart rate
  • mom and babys temperature
  • mom and babys blood pressure
  • Mom and babys respiration rate

Question 67

Question
How long should you wait after receiving an opioid should you wait to breast feed?
Answer
  • 24-48 hours
  • 4-6 hours
  • 1-2 hours
  • 8-10 hours

Question 68

Question
What should you expect to see with a patient withdrawing from an opioid? (select all that apply)
Answer
  • sweating
  • tingiling/numbness
  • anger
  • insomnia
  • restlessness

Question 69

Question
what is the antidote for an opioid?
Answer
  • naproxen
  • narcan
  • fetanyl
  • synthroid

Question 70

Question
What is the onset, peak , and duration of rapid insulin?
Answer
  • 30 minutes, 2 hours, 8 hours
  • 15 minutes, 1 hour, 3 hours
  • 2 hours, 8 hours, 16 hours
  • 2 hours, none, 24 hours

Question 71

Question
What is the onset, peak, and duration of short acting insulin?
Answer
  • 15 minutes, 1 hour, 3 hours
  • 30 minutes, 2 hours, 8 hours
  • 2 hours, 8 hours, 16 hours
  • 2 hours, none, 24 hours

Question 72

Question
What is the onset, peak, and duration of intermediate insulin?
Answer
  • 15 minutes, 1 hours, 3 hours
  • 30 minutes, 2 hours, 8 hours
  • 2 hours, 8 hours, 16 hours
  • 2 hours, none, 24 hours

Question 73

Question
What is the onset, peak, and duration of long acting insulin?
Answer
  • 15 minutes, 1 hours, 3 hours
  • 30 minutes, 2 hours, 8 hours
  • 2 hours, 8 hours, 16 hours
  • 2 hours, none, 24 hours
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