ATI MED SURG PROCTORED EXAM LATEST 2022-STUDY GUIDE (3 VERSIONS) ATI MED SURG PROCTORED EXAM A patient with hypothyroidism begins taking PO Levothyroxine
... [Show More] (Synthroid). The nurse assessed
as a patient at the beginning of the shift and notes a heart rate of 62 bpm and a temperature of
92.7°F. The patient is lethargic and difficult to arouse. The nurse will contact the provider to
request an order for which drug?
a. Methimazole
b. Increased dose of PO levothyroxine
c. intravenous levothyroxin
d. beta blocker
2. A patient has been taking levothyroxine for several years and reports that “For the past two
weeks, the drug doesn’t seem to work as well as before”. What will the nurse do?
a. Expect the patient to have an elevated temperature and tachycardia
b. Ask the patient when the prescription was last refilled
c. tell the patient to try taking the medication with food
d. suggested the patient start taking calcium supplements
3. The nurse is caring for a pregnant patient recently diagnosed with hypothyroidism. Patient tells
the nurse she does not want to take medications while she is pregnant. What will the nurse
explain to this patient?
a. neurologic deficits in the fetus can occur if the condition is not treated
b. no danger to the fetus exists until the 3rd trimester
c. treatment is required only if the patient is experiencing symptoms
d. hypothyroidism is a normal effect of pregnancy and usually is of no consequence
4. The nurse prepares a patient with Graves’ disease for radioactive iodine therapy. Which
statement made by the patient best demonstrates understanding of this therapy?
a. I will have to isolate myself from my family for two weeks so that I don't expose them to
radiation
b. “this drug will be taken up by my thyroid and destroy the cells to reduce my
hypothyroidism”
c. I will need to take this drug daily for one year
d. this drug will help reduce my cold intolerance and weight gain
5. A patient has a free T4 level of 0.6 in a free T3 of 220. The patient asked the nurse what these
laboratory values mean. How will the nurse resp
a. we will need to obtain a TSH level to better evaluate your diagnosis
b. these results suggest you have hyperthyroidism
c. we will need to obtain a total T3 and total T4 to know for sure
d. these values indicate you may have grave’s disease [Show Less]