A client with thyroid disease is being treated with propylthiouracil (PTU). Which statement made by the client indicates the medication therapy is effective?
"I have less constipation these days."
"I've lost five pounds since I started this medication."
"My face is not so puffy now."
"My vision has improved lately."
The Correct Answer is C
Choice A reason: Less constipation is not a direct indicator of effective PTU therapy, as constipation can be associated with hypothyroidism, and PTU is used to treat hyperthyroidism.
Choice B reason: Weight loss is expected in hyperthyroidism, and PTU is used to reduce thyroid hormone levels, not to promote weight loss.
Choice C reason: A reduction in facial puffiness can indicate that the PTU is effectively reducing thyroid hormone levels, as puffiness can be associated with hyperthyroidism.
Choice D reason: Improvement in vision is not a typical outcome of PTU therapy and does not directly indicate its effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While assessing temperature is important for monitoring infection, it is not the immediate priority in the treatment of UTI and sepsis.
Choice B reason: Monitoring urine output is crucial for a UTI but does not address the systemic infection that sepsis represents.
Choice C reason: Administering antibiotics is the most critical intervention for a client with sepsis due to a UTI, as it directly addresses the underlying infection and can be life-saving.
Choice D reason: Evaluating the current CBC is important for understanding the client's baseline and response to infection but is secondary to the administration of antibiotics.
Correct Answer is D
Explanation
Choice A reason: Levodopa/carbidopa therapy is often recommended to be taken with food to prevent nausea, which is a common side effect. Therefore, advising not to take it with food is incorrect.
Choice B reason: While levodopa/carbidopa can cause insomnia, it is not the most critical piece of information for discharge teaching. Managing insomnia can be part of ongoing treatment discussions.
Choice C reason: Checking for signs of infection is a general safety measure but is not specific to levodopa/carbidopa therapy. It is important for all medications and health conditions.
Choice D reason: It is crucial to take levodopa/carbidopa at the same time each day to maintain steady levels of the medication in the body, which helps to control the symptoms of Parkinson's disease effectively. Consistency in medication timing is key to managing the disease's symptoms.
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