1) A client is being treated for hyperthyridism with propylthiouracil

(PTU). The LPN/LVN knows that the action of this drug is to:

A. decrease the amount of thyroid stimulating hormone circulating in

the blood.

B. increase the amount of thyroid-stimulating hormone circulating in

the blood.

C. increase the amount of T4 and decrease the amount of T3 produced

by the thyroid.

D. inhibit synthesis of T3 and T4 by the thyroid gland.

D. PTU is an adjunct therapy used to control hyperthyroidism by

inhibiting production of thyroid hormones. It is often prescribed in prep

for thyroidectomy or radioactive iodine therapy

2) A female client with RA takes ibuprofen (motrin) 600mg PO 4xday.

To preven GI bleeding, misoprostol (cytotec) 100mcg PO is

prescribed. Which information is most important for the nurse to

include in client teaching?

A. use contraception during intercourse

B. ensure the cytotec is taken on an empty stomach

C. encourage oral fluid intake to prevent constipation

D. take cytotec 30min prior to motrin

A. Use contraception during intercourse.

Cytotec, a synthetic form of prostaglandin, is classified as pregnancy

category X and can act as an abortifacient, so the client should be

instructed to use contraception during intercourse to prevent loss of early

pregnancy

3) Dobutamine (Dobutrex) is an emergency drug most commonly

prescribed for a client with which condition?

A) Shock.

B) Asthma.

C) Hypotension.