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 D
Explanation
Choice A reason: This statement is false. The nurse does not need to administer a laxative to the client before giving amiodarone, as amiodarone is not known to cause constipation. Amiodarone is an anti-arrhythmic medication that slows down the electrical impulses in the heart and restores a normal heart rhythm. It does not affect the bowel function or the gastrointestinal motility.
Choice B reason: This statement is false. The nurse does not need to place an NG tube to the client before giving amiodarone, as amiodarone is not known to cause gastric distension. An NG tube is a nasogastric tube that is inserted through the nose and into the stomach to remove air or fluid. It is used for clients who have bowel obstruction, vomiting, or bleeding. Amiodarone does not cause any of these conditions.
Choice C reason: This statement is false. The nurse does not need to call for respiratory to intubate the client before giving amiodarone, as amiodarone is not known to cause respiratory depression. Intubation is a procedure that involves inserting a tube through the mouth and into the trachea to assist breathing. It is used for clients who have difficulty breathing, low oxygen levels, or airway obstruction. Amiodarone does not cause any of these conditions.
Choice D reason: This statement is true. The nurse should attach the client to a cardiac monitor before giving amiodarone, as amiodarone is an anti-arrhythmic medication that can affect the heart rate, rhythm, and conduction. A cardiac monitor is a device that records the electrical activity of the heart and displays it on a screen. It is used to detect and treat any abnormal heartbeats, such as arrhythmias, bradycardia, or tachycardia. The nurse should monitor the client's cardiac status closely and report any changes to the prescriber.
Correct Answer is A
Explanation
Choice A reason: This statement is true. The nurse's best recommendation is to give glucagon IM, as glucagon is a hormone that raises blood glucose levels by stimulating the breakdown of glycogen in the liver. Glucagon can be given intramuscularly, subcutaneously, or intranasally, and does not require an IV line. The client has a very low blood glucose level, which can cause brain damage or death if not treated promptly.
Choice B reason: This statement is false. The nurse should not recommend dextrose 50% IV, as dextrose is a form of glucose that is given intravenously to raise blood glucose levels. However, dextrose requires an IV line, which the nurse is unable to get. The nurse should look for alternative routes of administration that do not depend on an IV line.
Choice C reason: This statement is false. The nurse should not recommend insulin glargine SQ, as insulin is a hormone that lowers blood glucose levels by facilitating the uptake of glucose in the cells. Insulin glargine is a long-acting insulin that is given subcutaneously once a day. The client does not need insulin, as their blood glucose level is already too low. Giving insulin would worsen the client's condition and cause severe hypoglycemia.
Choice D reason: This statement is false. The nurse should not recommend diet cola PO, as diet cola is a sugar-free beverage that does not raise blood glucose levels. Diet cola is not a suitable treatment for hypoglycemia, as it does not provide any glucose to the body. Moreover, the client is lethargic and unable to follow commands, which means they may have difficulty swallowing or may aspirate the liquid. The nurse should avoid giving anything by mouth to the client until they are alert and oriented.
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