NG. Endocrine Pharmacology Exam

Ella, a 32-year-old female, has been prescribed dexamethasone for severe asthma exacerbation. The nurse is preparing to administer the medication.
Which of the following three precautions should the nurse consider when administering dexamethasone to Ella? 

Anthony, a 27-year-old male bodybuilder, admits to using various anabolic steroids, including fluoxymesterone, for muscle gain. He presents with fatigue and abdominal discomfort.
Which of the following complications are associated with the use of fluoxymesterone? Select all that apply

Sarah is a 42-year-old woman who was admitted to the endocrinology department with clinical symptoms of decreased physical and mental activity, weight gain, hair loss menstrual irregularities, and galactorrhea. She also reports a mild intolerance to colds for the past 3 months.
Which of the following two nursing considerations should be kept in mind when advising Sarah about the current prescription?

Leah, a 35-year-old woman diagnosed with gestational diabetes
Given Leah's specific circumstances, which of the two following statements regarding the storage of her insulin pen is correct?

Marilyn, a 70-year-old postmenopausal female, has been diagnosed with osteoporosis.  

What is the most important precaution to consider when prescribing alendronate to Marilyn?

Complete the following paragraph by using the list of options

Ava, a 28-year-old female, is prescribed mifepristone. During the consultation, she inquired about any specific precautions she should be aware of while on the medication.

Mifepristone also designated as RU-486 is a hormone antagonist with partial agonist activity.
Administration of this drug to females usually results in due to interference with the needed to maintain  

Mifepristone is often combined with the prostaglandin analog to induce  

Emily, a 38-year-old female, has been diagnosed with Cushing's syndrome and has been started on levoketoconazole. As a nurse, you are reviewing her medications and preparing for patient education.

What nursing implication is crucial for patients on levoketoconazole?

Linda, a 30-year-old female with a recent diagnosis of pregnancy, has been managing her hyperthyroidism for the past 5 years.
Given Linda's medical history and concerns, which of the following anti-thyroid drugs would be most appropriate to consider during the first trimester of her pregnancy, keeping in mind both maternal and fetal well-being?

Hannah, a 45-year-old female with type 1 diabetes mellitus, comes to the clinic complaining of recurrent episodes of dizziness and shakiness around mid-morning. 
According to her history, which type of insulin is most probable that Hanna uses? 

6-year-old Jenny is in the pediatric ICU. Based on her clinical presentation and the concerns raised, the team is considering the use of vasopressin.
Based on the prescribed medication profile, complete the following sentence by choosing from the lists of options provided.

Vasopressin has a multifaceted role in medical therapy.
It's primarily indicated for the treatment of a condition characterized by

Additionally, in the critical care setting, it's employed as a to manage conditions, like where conventional treatments may not suffice.

Monitoring is vital while on vasopressin; clinicians should keep a close eye on   urine output, and blood pressure.

Common side effects can range from abdominal cramps and increased bowel movements to more severe symptoms such as chest pain and allergic reactions.

When administering vasopressin, especially in children, it's paramount to adjust dosing carefully, considering the risk of and hyponatremia.

It's contraindicated in patients with and those with hypersensitivity to the drug.

For both adults and children, nurses should ensure patient and family education regarding the importance of regular lab checks, potential side effects, and the need to report any sudden or unusual symptoms promptly.

Henry, a 58-year-old male with type 2 diabetes and a recent prescription of rosiglitazone, is reviewing his medications with his healthcare provider.
In which clinical situation, the nurse should question the recent medication prescription? 

Michael, a 68-year-old male diagnosed with non-metastatic castration-resistant prostate cancer, recently started treatment with darolutamide. During a follow-up visit, he mentioned experiencing several new symptoms.

Which of the following are three potential side effects of darolutamide? 

Carlos, a 58-year-old male with type 2 diabetes, has been on metformin for a year. Due to suboptimal glycemic control, his endocrinologist has added glyburide to his regimen. Carlos tends to skip meals due to his erratic work schedule.
Which of the following nursing considerations are crucial for Carlos when starting glyburide? Select all that apply

Zalika is a 28-year-old African-American woman who has been trying to get pregnant for years without concrete results. She has steadily gained weight, and her appearance has begun to suffer, as she has developed severe acne and hair on her arms and face disproportionately for her age and gender.
Her doctor has conducted a thorough physical examination and diagnosed Polycystic Ovary Syndrome (PCOS). The doctor has prescribed lifestyle changes such as exercise and diet, in addition to metformin and clomiphene.
Why might metformin be considered a part of Hannah's treatment plan?

Mark, a 55-year-old male, presents with symptoms of testosterone deficiency. His recent labs confirm a low testosterone level. His endocrinologist prescribes Depo-testosterone, and he comes to the nursing clinic for his first injection.
Which of the following nursing implications should be considered when administering Depo-testosterone? Select all that apply

John, a 65-year-old male with a history of Parkinson's disease, has been prescribed bromocriptine. He's also been experiencing increased headaches recently.

Which of the following are three known indications or uses of bromocriptine? Management of Parkinson's disease and:

Aria, a 29-year-old female, has been diagnosed with generalized lipodystrophy. Given her persistently low leptin levels and associated complications, her endocrinologist has prescribed metreleptin. Aria, being health-conscious, wants to understand the drug's nuances and how it might impact her daily activities.
Which of the following nursing considerations or patient education pointers are crucial for Aria when starting metreleptin? Select all that apply

Emily, a 28-year-old female with type 1 diabetes, is an avid swimmer and is training for an upcoming championship.
Considering Emily's athletic pursuits and the described skin changes, which of the following nursing considerations and interventions would be most appropriate for her situation? Select all that apply

Deborah is a 52-year-old obese woman who has been scheduled by her doctor to undergo a contrast angiogram due to emerging angina pectoris, which she has been suffering from for 2 months. Before the procedure, the nurse must check her medical record to ensure that all her documents and authorizations are signed, as well as the list of potential medications that she will need to temporarily discontinue.

Complete the diagram by dragging from the choices below to specify what possible drug is important to check and stop in this case, two actions the nurse would take when caring for the client receiving this drug, and two parameters the nurse would monitor before performing the client’s procedure

Robert, a 50-year-old male with a complex medical history, including hypertension and irritable bowel syndrome, has recently been prescribed insulin therapy to manage his type 2 diabetes. He is on multiple medications for his other conditions. Since starting on insulin, he's observed a variety of new symptoms and is concerned about drug interactions, adverse reactions, or even potential mismanagement of his conditions.
Given his medical background and current symptoms, which of the following three might be adverse reactions specifically attributed to his insulin therapy?