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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Neostigmine is an anticholinesterase inhibitor that indirectly stimulates both nicotinic and muscarinic receptors by interfering with the breakdown of acetylcholine.

Stimulation of muscarinic receptors can lead to increased salivation.

Choice A is wrong because an occipital headache is not a manifestation of a muscarinic response to neostigmine.

Choice B is wrong because fever is not a manifestation of a muscarinic response to neostigmine.

Choice D is wrong because a myoclonic seizure is not a manifestation of a muscarinic response to neostigmine.

A. The client had chemotherapy 12 hr before the medication was administered. B. The medication vial sat at room temperature for 2 hr before it was administered. C. The client's absolute neutrophil count was 2,500/mm³ before the medication was administered. D. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered.

Correct Answer is A

Explanation

Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.

Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.

Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.

Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Correct Answer is A

Explanation

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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?