A client has been taking propylthiouracil (PTU) for 8 weeks. Which statement by the client would indicate the drug is having its desired effects? (Select all that apply).
"My skin is not bruising as much."
“I am sleeping so much better."
"I don't feel as anxious as I once did."
“I can't seem to gain any weight no matter how much I eat."
"My menstruation is returning back to its regular cycle."
"My heart doesn't seem to be racing anymore."
Correct Answer : B,C,E,F
A. Bruising is typically related to anticoagulant effects or blood disorders and not directly tied to the desired effects of PTU.
B. Improved sleep is an indicator that hyperthyroidism symptoms, such as insomnia, are being managed effectively.
C. A decrease in anxiety can suggest effective management of hyperthyroidism, as anxiety is a common symptom of this condition.
D. Weight loss or inability to gain weight is usually a symptom of hyperthyroidism, so this statement would indicate that PTU is not achieving the desired effect.
E. A return to regular menstruation can indicate improved thyroid function, as hyperthyroidism can disrupt menstrual cycles.
F. Reduced heart rate and the absence of palpitations suggest effective management of hyperthyroidism symptoms, indicating the drug is having the desired effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ciprofloxacin is an antibiotic used to treat bacterial infections and is not effective against parasitic infections such as pinworms.
B. Zidovudine is an antiretroviral medication used primarily for HIV treatment and does not target pinworms.
C. Ketoconazole is an antifungal medication that is not indicated for treating pinworm infections.
D. Mebendazole is an anthelmintic medication specifically used to treat pinworm infections by inhibiting the metabolism of the parasite, making it the appropriate choice for this client.
Correct Answer is B
Explanation
A. Bradycardia is not a common side effect of atorvastatin and would not necessarily require immediate reporting unless it is significantly low and symptomatic.
B. Dark-red urine could indicate the presence of myoglobinuria, which can occur due to rhabdomyolysis, a serious side effect of statins like atorvastatin that necessitates immediate medical attention.
C. Elevated HDL cholesterol is generally a positive finding and does not require reporting unless it is part of a larger adverse effect context.
D. A migraine headache, while concerning, is not a known side effect specifically associated with atorvastatin and may not require immediate intervention unless severe or persistent.
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