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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Allopurinol is a xanthine oxidase inhibitor used for chronic gout management and prevention, not for acute attacks.
B. Febuxostat is also used for chronic management of gout and not effective for immediate relief of an acute attack.
C. Colchicine is indicated for the treatment of acute gout flares as it helps reduce inflammation and pain associated with gout attacks.
D. Physostigmine is an antidote for anticholinergic toxicity and has no role in treating gout.

A. Fruit Juices B. Aged Cheddar C. Smoked Sausage D. Cereal E. Grilled Chicken F. Red Wine

Correct Answer is ["B","C","F"]

Explanation

B. Aged cheeses like cheddar contain high levels of tyramine, which can trigger hypertensive crises in clients taking MAOIs.
C. Smoked and cured meats, such as sausage, are high in tyramine and should be avoided.
F. Red wine is another common source of tyramine, and consumption should be avoided while taking MAOIs.
A. Fruit juices are generally low in tyramine and do not need to be excluded.
D. Cereal is not typically high in tyramine, so it is safe to consume.
E. Grilled chicken, as a fresh protein source, is low in tyramine and safe for clients on MAOIs.

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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).

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with swelling to the distal phalanges, first big toe, and 10/10 pain. Which medication below would be administered for this client's acute gout?

Correct Answer is C

Explanation

A client taking a newly prescribed Monoamine Oxidase Inhibitor (MAOI) is receiving education on foods that contain tyramine. Which of the following foods below should be excluded from the client's diet?

Correct Answer is ["B","C","F"]

Explanation

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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).

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