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."
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The nurse writes the client's discharge medications on a medication card: Writing a medication card is a manual method of providing information and does not involve information technology.
B. The nurse has the client repeat their discharge instructions: Having the client repeat instructions is a teaching strategy to assess understanding, but it does not utilize information technology.
C. The nurse provides the client with a brochure about their new medication: Providing a printed brochure is a traditional educational method and does not incorporate digital technology or online resources.
D. The nurse provides the client with a list of websites that provide information about their new medication: Directing the client to reputable online resources leverages information technology, allowing access to digital education tools and up-to-date medication information.
Correct Answer is D
Explanation
A. Liver toxicity: Prednisone is metabolized by the liver but is not commonly associated with hepatotoxicity. Liver function monitoring is not a primary concern for long-term prednisone therapy.
B. Hemolytic anemia: Prednisone does not typically cause hemolytic anemia. Its primary hematologic effects involve immunosuppression rather than direct destruction of red blood cells.
C. Hypoglycemia: Prednisone can increase blood glucose levels by promoting gluconeogenesis and reducing peripheral glucose uptake, which may lead to hyperglycemia rather than hypoglycemia.
D. Bone loss: Long-term use of prednisone decreases calcium absorption and bone formation, increasing the risk of osteoporosis and fractures. Monitoring bone density and implementing preventive measures is essential for clients on chronic corticosteroid therapy.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.