A client is to receive radioactive iodine for treatment of hyperthyroidism. What should the client be educated to prepare for following this procedure?
You will need to wear light clothing and avoid hot showers for 6 months.
The procedure is likely to leave you infertile.
Do not drink caffeinated beverages for 2 weeks.
This is very likely to cause hypothyroidism, which will require life-long medication treatment.
The Correct Answer is D
Choice A reason: This statement is false. The client does not need to wear light clothing or avoid hot showers after receiving radioactive iodine. However, the client should avoid close contact with others, especially children and pregnant women, for a few days to prevent radiation exposure.
Choice B reason: This statement is false. The procedure is unlikely to leave the client infertile, as the dose of radioactive iodine is low and does not affect the reproductive organs. However, the client should avoid pregnancy for at least 6 months after the procedure, as a precaution.
Choice C reason: This statement is false. The client does not need to avoid caffeinated beverages after receiving radioactive iodine. However, the client should drink plenty of fluids to flush out the excess iodine from the body.
Choice D reason: This statement is true. The procedure is very likely to cause hypothyroidism, as the radioactive iodine destroys the thyroid cells that produce thyroid hormones. The client will need to take thyroid hormone replacement therapy for the rest of their life to prevent symptoms of hypothyroidism, such as fatigue, weight gain, cold intolerance, and depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is false. Atorvastatin is not a medication that the nurse should hold, as it is used to lower cholesterol and prevent cardiovascular events. It does not have a significant effect on blood pressure, heart rate, or blood glucose.
Choice B reason: This statement is true. Captopril is a medication that the nurse should hold, as it is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also cause hyperkalemia, which is a condition where the potassium level is too high. The client has a high potassium level, which can cause cardiac arrhythmias or muscle weakness. The nurse should hold the captopril and notify the prescriber.
Choice C reason: This statement is false. Atenolol is not a medication that the nurse should hold, as it is a beta-blocker that lowers blood pressure and heart rate. It can also prevent angina and reduce the risk of heart attack. The client has a normal heart rate and a slightly elevated blood pressure, which can be expected after surgery. The nurse should monitor the client's vital signs and administer the atenolol as ordered.
Choice D reason: This statement is false. Glipizide is not a medication that the nurse should hold, as it is an oral antidiabetic drug that lowers blood glucose by stimulating the release of insulin from the pancreas. The client has a normal blood glucose level, which can be maintained by taking the glipizide as ordered. The nurse should also encourage the client to follow a balanced diet and exercise regimen.
Correct Answer is ["500"]
Explanation
To find the rate in mL/hr, we need to convert the time from minutes to hours and then divide the volume by the time. Here are the steps:
1. Convert 30 minutes to hours:
30 minutes/ (60 minutes/hour)= 0.5 hours
2. Calculate the rate in mL/hr:
250 mL/ 0.5 hours = 500 mL
So, the nurse will set the pump to deliver the fluid at a rate of 500 mL/hr.
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