A client who will undergo thyroidectomy at a later date has been started on medication therapy with potassium iodide (Lugol solution). As the licensed practical nurse (LPN) prepares to administer a scheduled dose, the client states they are experiencing fever, sore throat and mouth ulcers. The LPN should:
Give half the prescribed dose and notify the registered nurse (RN).
Continue to administer the medication
Stop the medication for 24 hours
Withhold the medication and notify the RN.
The Correct Answer is D
A. Give half the prescribed dose and notify the registered nurse (RN): The symptoms described indicate a serious side effect of potassium iodide, such as agranulocytosis (a decrease in white blood cells), and a dose reduction is not recommended in this situation.
B. Continue to administer the medication: Continuing the medication without addressing the symptoms is unsafe. Fever, sore throat, and mouth ulcers are warning signs of a serious adverse effect, such as agranulocytosis, and continuing the medication could cause harm.
C. Stop the medication for 24 hours: Simply stopping the medication for a short period of time is not sufficient. The symptoms need to be reported immediately, and potassium iodide should be withheld pending further evaluation by the healthcare provider.
D. Withhold the medication and notify the RN: Fever, sore throat, and mouth ulcers are potential signs of a serious adverse reaction like agranulocytosis, which requires immediate attention. The nurse should withhold the medication and inform the healthcare provider for further evaluation and guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Converts glycogen to glucose: The process of converting glycogento glucoseis known as glycogenolysis, and it occurs in the liver. This is actually stimulated by glucagon, not insulin. Insulinworks to lower blood sugar levels by facilitating glucose uptake.
B. Stimulates the breakdown of adipose tissue: Insulinactually preventsthe breakdown of adipose tissue. It promotes fat storageby inhibiting lipolysis (fat breakdown). It is glucagonand other hormones that stimulate fat breakdown during fasting states.
C. Stimulates active transport of glucose into muscle and adipose tissue cells: The primary function of insulinis to facilitate the uptake of glucoseinto muscleand adipose tissuecells by stimulating glucose transporterson the cell membrane. This helps lower blood glucose levels.
D. Increases the breakdown of protein into amino acids: Insulinhas an anaboliceffect on protein metabolism, meaning it promotes protein synthesisand inhibits the breakdown of proteins into amino acids. Glucagonis more involved in protein catabolismduring fasting states.
Correct Answer is D
Explanation
A. Atherosclerotic vascular changes: While atherosclerosis is common in diabetics, it primarily affects circulation and the cardiovascular system. Although impaired circulation can contribute to slower healing, it is not the primary cause of increased infection risk.
B. Deficient protein reserves: Although protein malnutrition can impair the immune response, diabetes does not necessarily lead to deficient protein reserves. The increased risk of infection is more closely related to high glucose levels rather than malnutrition.
C. Inadequacy of blood cell production: Inadequate blood cell production (such as anemia) is not a common result of diabetes. While diabetes can cause complications that affect circulatory health, the increased infection risk is primarily due to elevated glucose levels.
D. High glucose levels: High blood glucose levels can impair the function of white blood cells, which are essential for the body's ability to fight infection. Hyperglycemia also provides an ideal environment for the growth of bacteria and fungi, making diabetics more prone to infections, especially in areas like the skin and urinary tract.
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