A nurse is assessing a client who has Graves' disease and is taking methimazole.
Which of the following findings indicates the client needs a lower dose of the medication?
Exophthalmos.
Diaphoresis.
Bradycardia.
Weight loss.
The Correct Answer is C
Methimazole is a medication used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone.
Bradycardia, or a slow heart rate, can be a sign that the client’s thyroid hormone levels have become too low, indicating that the dose of methimazole may need to be decreased.
Choice A is wrong because Exophthalmos, is not an indication for a lower dose of methimazole as it is a symptom of Graves’ disease itself and not related to the medication.
Choice B is wrong because Diaphoresis, or excessive sweating, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.
Choice D is wrong because Weight loss, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should monitor the client for hearing loss because it is a potential adverse effect of erythromycin.
Choice B is wrong because a high-fiber diet to prevent constipation is not mentioned as a necessary action when administering erythromycin lactobionate IV bolus.
Choice C is wrong because erythromycin lactobionate IV bolus should not be administered over 10 min; bolus injection (IV push) is contraindicated.
Choice D is wrong because erythromycin lactobionate should not be reconstituted with a 5% dextrose solution; it should be reconstituted with sterile water for injection.
Correct Answer is C
Explanation
Administer the medication through a straw.
This is because ferrous sulfate elixir can stain the teeth, so using a straw can help prevent this from happening.
Choice A is wrong because milk can interfere with the absorption of iron.
Choice B is wrong because caffeine can also interfere with iron absorption.
Choice D is wrong because antacids can reduce the absorption of iron and should be avoided within 2 hours of taking ferrous sulfate.
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