Nokea
A nurse is assessing a client who is prescribed levothyroxine. The nurse understands that this drug is prescribed to treat the thyroid condition associated with which of the following symptoms? Select all that apply.
- A. Nervousness
- B. Anorexia
- C. Coarse hair
- D. Cold intolerance
- E. Tachycardia
Correct Answer: B,C,D
Rationale: Levothyroxine is used to treat hypothyroidism manifested by anorexia, coarse hair, cold intolerance, lethargy, and bradycardia.
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A client is diagnosed with hypothyroidism. Which of the following would the nurse expect to assess? Select all that apply.
- A. Elevated body temperature
- B. Weight gain
- C. Bradycardia
- D. Hypertension
- E. Sleepiness
Correct Answer: B,C,E
Rationale: The signs and symptoms of hypothyroidism include decreased metabolism; cold intolerance; low body temperature; weight gain; bradycardia; hypotension; lethargy; sleepiness; pale, cool, dry skin; face appearing puffy; coarse hair; thick, hard nails; heavy menses; fertility problems; and low sperm count.
After teaching a group of nursing students about thyroid drugs, the instructor determines that the teaching was successful when the students identify which of the following as an antithyroid drug? Select all that apply.
- A. Propylthiouracil
- B. Levothyroxine
- C. Liotrix
- D. Desiccated thyroid
- E. Methimazole
Correct Answer: A,E
Rationale: Propylthiouracil and methimazole are antithyroid drugs. Levothyroxine, liotrix, and desiccated thyroid are thyroid hormone supplements.
A nurse is caring for a client undergoing thyroid hormone replacement therapy. The nurse instructs the client to take the drug at which time?
- A. Before bedtime
- B. Just before dinner
- C. After lunch
- D. Before breakfast
Correct Answer: D
Rationale: The nurse should inform the client undergoing thyroid hormone replacement therapy to take the drug in the morning, preferably before breakfast. The nurse should not ask the client to take the drug before bedtime, just before dinner, or after lunch as that is not generally recommended by the health care provider.
A nurse is preparing to administer the thyroid hormone replacement drug levothyroxine to a client. The nurse understands which of the following about this drug? Select all that apply.
- A. Equivalent to all other thyroid hormone replacement drugs
- B. More uniform potency than other thyroid hormone replacement drugs
- C. Twice-daily dosing necessary
- D. Relatively inexpensive
- E. Less frequent lab monitoring required
Correct Answer: B,D
Rationale: The following is true of the thyroid hormone replacement drug levothyroxine: it is relatively inexpensive, requires once-daily dosing, and has a more uniform potency than do other thyroid hormone replacement drugs.
The nurse should monitor a client receiving radioactive iodine \left({ }^{131} \mathrm{I}\right) for which of the following severe reactions? Select all that apply.
- A. Agranulocytosis
- B. Exfoliative dermatitis
- C. Hypoprothrombinemia
- D. Seizures
- E. Stroke
Correct Answer: A,B,C
Rationale: The nurse should monitor a client receiving radioactive iodine (I-131) for severe reactions including agranulocytosis, exfoliative dermatitis, hypoprothrombinemia, and granulocytopenia.