A nurse in an outpatient clinic is providing teaching to a female client who has hyperthyroidism about a new prescription for methimazole. Which of the following statements by the client indicates an understanding of the teaching?

"I know I will need to take methimazole for the rest of my life."

"I should take methimazole 1 hr before eating."

"I should be vigilant with birth control while taking methimazole."

"I should stop taking methimazole when my night sweats go away."

Answer and Explanation

The Correct Answer is C

A. "I know I will need to take methimazole for the rest of my life.": Methimazole therapy is often temporary, used to control hyperthyroidism until definitive treatment or remission occurs. Lifelong use is not necessarily required.

B. "I should take methimazole 1 hr before eating.": Methimazole can be taken with or without food. Timing relative to meals is not critical for its absorption, so taking it strictly one hour before eating is unnecessary.

C. "I should be vigilant with birth control while taking methimazole.": Methimazole can be teratogenic, especially during the first trimester of pregnancy. Effective contraception is important to prevent fetal harm while on this medication.

D. "I should stop taking methimazole when my night sweats go away.": Symptoms may improve before thyroid hormone levels normalize. Stopping methimazole prematurely can lead to relapse of hyperthyroidism, so discontinuation should only occur under provider guidance.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Blood pressure 140/86 mm Hg: This blood pressure is slightly elevated but not indicative of an adverse reaction to morphine. Morphine more commonly causes hypotension rather than hypertension.

B. Heart rate 65/min: A heart rate of 65/min is within normal limits for most adults and does not signal a concerning response to morphine.

C. Temperature 37.5° C (99.5° F): This is a mild elevation within normal limits and is not associated with morphine administration.

D. Respiratory rate 10/min: Morphine can depress the central nervous system, leading to respiratory depression. A respiratory rate of 10/min is below the normal range (12–20/min) and indicates an adverse reaction requiring immediate monitoring and intervention.

A. Check the client's pulse oximetry level every 6 hr. B. Check the client's blood pressure every 4 hr. C. Check the client's respirations every 2 hr. D. Assess the client's apical heart rate every 8 hr.

Correct Answer is C

Explanation

A. Check the client's pulse oximetry level every 6 hr: Pulse oximetry provides valuable information on oxygen saturation, but checking only every 6 hours may not detect early respiratory depression caused by opioid PCA therapy.

B. Check the client's blood pressure every 4 hr: Blood pressure monitoring is important postoperatively, but opioid-induced respiratory depression is a more immediate risk in the first 24 hours of PCA use, so respirations take priority.

C. Check the client's respirations every 2 hr: Opioids administered via PCA can cause respiratory depression, especially in the first 24 hours. Monitoring respiratory rate frequently allows for early detection and intervention if hypoventilation occurs.

D. Assess the client's apical heart rate every 8 hr: While cardiac monitoring may be indicated for some clients, the apical heart rate is not the most critical assessment for PCA therapy. Respiratory function is the priority for detecting opioid-related complications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in an outpatient clinic is providing teaching to a female client who has hyperthyroidism about a new prescription for methimazole. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative and has a PCA pump. Which of the following assessments should the nurse make in the first 24 hr following initiation of the PСА?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a new prescription for warfarin about potential interactions with over-the-counter products. Which of the following products should the nurse instruct the client to avoid?

A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?

A nurse is teaching a client who has hyperthyroidism about managing the potential adverse effects of methimazole. Which of the following concepts should the nurse include?

A nurse is teaching a client who is being treated for depression with escitalopram. Which of the following statements by the client should the nurse identify as an adverse effect?

A nurse is assessing a client who is taking gentamicin. For which of the following findings should the nurse withhold the medication?

A nurse is preparing to administer medications to a client. Which of the following resources should the nurse use to obtain information about medications they have never administered?

A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is teaching a client who has a new prescription for phenytoin extended-release capsules. Which of the following instructions should the nurse include?