Nokea
A nurse is caring for a client with chronic lymphocytic thyroiditis. The physician has prescribed liothyronine to the client. The nurse understands that the drug is administered cautiously to clients with which of the following?
- A. Upper respiratory tract infection
- B. Diabetes
- C. Elevated body temperature
- D. Cardiac disease
Correct Answer: D
Rationale: The nurse should be cautious about existing conditions such as cardiac disease and also cautious about factating clients before administering liothyronine to clients with chronic lymphocytic thyroiditis. The nurse need not be cautious about administering liothyronine to clients with an upper respiratory tract infection, diabetes, or elevated body temperature. The nurse should be cautious about clients contracting an upper respiratory tract infection on administrating antithyroid drugs. A client with diabetes may experience an increase in diabetes while undergoing thyroid hormone replacement therapy. The nurse should observe for elevated body temperature while managing the needs of a client administered thyroid hormones.
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During initial therapy with levothyroxine, the most common reactions a nurse might observe in a client include which of the following? Select all that apply.
- A. Elevated body temperature
- B. Weight loss
- C. Tachycardia
- D. Hypotension
- E. Insomnia
Correct Answer: A,B,C,E
Rationale: During initial therapy with levothyroxine, the most common reactions a nurse would observe are signs of overdose and hyperthyroidism, which include increased metabolism; heat intolerance; elevated body temperature; weight loss; tachycardia; hypertension; nervousness; anxiety; insomnia; exophthalmos; flushed, warm, moist skin; thinning hair; goiter; and irregular or scant menses.
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 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.
A nurse is providing care to a client with hyperthyroidism. Which treatment modalities would the nurse anticipate being used? Select all that apply.
- A. Levothyroxine (Synthroid)
- B. Methimazole (Tapazole)
- C. Radioactive iodine(I-131)
- D. Propylthiouracil (PTU)
- E. Subtotal thyroidectomy
Correct Answer: B,C,D,E
Rationale: Methimazole (Tapazole), propylthiouracil (PTU), radioactive iodine (I-131), and subtotal thyroidectomy are treatment modalities used in the treatment of clients with hyperthyroidism.
A nurse is caring for a client with hyperthyroidism. The physician prescribes methimazole to the client. The nurse observes that the client has developed skin rashes after the drug is administered. Which of the following interventions should the nurse perform while caring for the client?
- A. Offer suggestions to alter the drug schedule.
- B. Instruct the client to avoid applying lubricants.
- C. Instruct the client to use soap sparingly.
- D. Check if discoloration of the hair occurs.
Correct Answer: C
Rationale: The nurse should instruct the client to use soap sparingly and apply soothing creams or lubricants until the rash subsides. The nurse need not offer suggestions to alter the drug schedule, instruct the client to avoid applying lubricants, or check if discoloration of hair occurs.