A client diagnosed with hyperthyroidism will be taking propylthiouracil (PTU). The nurse provides medication instructions and determines that the client understands the information if the client states that it is most important to report which of the following symptoms to the physician?
Sore throat
Excitability
Muscle aches
Weight loss
The Correct Answer is A
A. Sore throat: A sore throat could be a sign of agranulocytosis, a serious side effect of propylthiouracil (PTU), which can lower the white blood cell count, leading to a weakened immune system. It is essential to report this symptom to the physician immediately, as this may indicate a need for discontinuing the medication or adjusting the treatment plan.
B. Excitability: Excitability is not typically a serious side effect of PTU. In fact, hyperthyroidism itself can cause symptoms like anxiety and nervousness, but these are not as critical as other potential adverse effects like agranulocytosis.
C. Muscle aches: While muscle aches can occur in people with hyperthyroidism or as a side effect of medications, they are not as concerning as sore throat in the case of PTU therapy. Muscle aches are more common in hypothyroid conditions or as a non-specific symptom.
D. Weight loss: Weight loss can be a symptom of hyperthyroidism, but it is not as urgent as the potential for agranulocytosis and is not a reason to immediately report to the physician unless it is extreme or accompanied by other symptoms of serious complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2500"]
Explanation
Calculation:
- Determine the duration of the intake period.
From 0700 to 1900 is 12 hours.
- Convert all fluid intakes to milliliters (mL) using the standard conversions (1 oz = 30 mL, 1 cc = 1 mL, and 1 oz ice chips = 0.5 oz liquid).
8 oz orange juice: 8oz×30mL/oz=240mL
10 cc flush: 10cc×1mL/cc=10mL
8 oz coffee: 8oz×30mL/oz=240mL
1 oz of cream: 1oz×30mL/oz=30mL
12 oz soda: 12oz×30mL/oz=360mL
4 oz chicken broth: 4oz×30mL/oz=120mL
6 oz soda: 6oz×30mL/oz=180mL
8 oz ice chips: 8oz×0.5(conversionfactorforicechips)×30mL/oz=120mL
100 cc/hr IV infusion for 12 hours: 100cc/hr×12hr=1200mL
- Sum all converted fluid intakes.
Total intake (mL) = 240+10+240+30+360+120+180+120+1200
= 2500mL
Correct Answer is C
Explanation
A. “I may need calcium replacement after surgery.": After a complete thyroidectomy, there is a risk of damage to the parathyroid glands, which regulate calcium levels. Clients may require calcium supplementation if their parathyroid function is affected.
B. “I need to take thyroid hormones for the rest of my life.": After a complete thyroidectomy, the client will require lifelong thyroid hormone replacement to maintain normal metabolic function, as the body no longer produces thyroid hormones.
C. “After surgery, I won't need to take thyroid medication.": After a complete thyroidectomy, the client will definitely need thyroid hormone replacement for the rest of their life, as their body can no longer produce thyroid hormones naturally.
D. “I can receive pain medication if I feel that I need it.": It is important for the nurse to ensure the client knows that pain management is available as needed after surgery to help with comfort and recovery.
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