Nokea
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.
You may also like to solve these questions
A client diagnosed with hyperthyroidism has been prescribed propylthiouracil. After administering the drug, the nurse would assess the client for which of the following?
- A. Skin rash
- B. Tachycardia
- C. Nervousness
- D. Constipation
Correct Answer: A
Rationale: The adverse reactions to propylthiouracil include paresthesias, numbness, headache, skin rash, nausea, vomiting, and agranulocytosis. The nurse need not observe for tachycardia, nervousness, and constipation as adverse reactions associated with propylthiouracil. Tachycardia, nervousness, and vomiting are the adverse reactions associated with the thyroid hormone levothyroxine sodium \left(\mathrm{T}_4\right).
When describing the thyroid gland, the nursing instructor would include which hormones as being secreted by the thyroid gland? Select all that apply.
- A. Thyroid-stimulating hormone
- B. Adrenocorticotropic hormone
- C. Thyroxine
- D. Prolactin
- E. Tri-iodothyronine
Correct Answer: C,E
Rationale: Thyroxine and tri-iodothyronine are hormones secreted by the thyroid gland. The anterior pituitary secretes thyroid-stimulating hormone. Prolactin and adrenocorticotropic hormone are secreted by the pituitary gland.
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.
During ongoing assessment the nurse should observe a client taking levothyroxine for which of the following indicating a therapeutic response? Select all that apply.
- A. Weight loss
- B. Mild diuresis
- C. Increased appetite
- D. Increased mental activity
- E. Decreased pulse rate
Correct Answer: A,B,C,D
Rationale: Signs of therapeutic response to levothyroxine include weight loss; mild diuresis; increased appetite; increased pulse rate; decreased puffiness of face, hands, and feet; and client report of increased mental activity and increased sense of well-being.
A client with a heart condition controlled on which of the following drugs must be monitored closely by the nurse for worsening atrial fibrillation if levothyroxine is initiated to treat hypothyroidism? Select all that apply.
- A. Lisinopril (Prinivil)
- B. Digoxin (Lanoxin)
- C. Diltiazem (Cardizem)
- D. Metoprolol (Toprol)
- E. Warfarin (Coumadin)
Correct Answer: B,D
Rationale: A client with a heart condition controlled on digoxin (Lanoxin) and metoprolol (Toprol) must be monitored closely by the nurse for worsening atrial fibrillation if levothyroxine is initiated to treat hypothyroidism because levothyroxine can decrease the effectiveness of digoxin and beta blockers (metoprolol).