A nurse is caring for a client who has a low thyroid stimulating hormone (TSH) level and elevated thyroxine (T4) and triiodothyronine (13) levels. Which of the following medications should the nurse anticipate to treat Graves' disease?

Propylthiouracil (PTU)

Morphine sulfate (Astramorph)

Sucralfate (Caralete)

Metformin (Glucophages)

Answer and Explanation

The Correct Answer is A

A.   Propylthiouracil (PTU): PTU is an antithyroid medication used to treat Graves' disease by inhibiting thyroid hormone production.
B.   Morphine sulfate (Astramorph): Morphine is a pain medication and is not used for Graves' disease.
C.   Sucralfate (Carafate): Sucralfate is used to treat ulcers, not thyroid disorders.
D.   Metformin (Glucophage): Metformin is used for diabetes, not for thyroid disorders.

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Correct Answer is D

Explanation

A. Furosemide (Lasix): Furosemide is a diuretic and is not used for motion sickness.
B. Metformin (Glucophage): Metformin is used for diabetes management, not for motion sickness.
C. Naloxone (Narcan): Naloxone is used to reverse opioid overdose, not for motion sickness.
D. Scopolamine (Scopace): Scopolamine is an anticholinergic medication that is commonly used to prevent and treat motion sickness.

A. This medication works in the high-ceiling loop diuretics work in the loop of Henle. It blocks the reabsorption of sodium and chloride and prevents the reabsorption of water, which causes extensive diuresis even with severe renal impairment B. This medication works in the distal tubule to block the reabsorption of sodium and chloride and prevents the reabsorption of water. C. This medication reduces intracranial pressure and intraocular pressure by raising serum osmolality and drawing fluid back into the vascular and extravascular space. D. This medication blocks the action of aldosterone (sodium and water retention), which results in potassium retention and the excretion of sodium and water.

Correct Answer is D

Explanation

A. This statement is incorrect because spironolactone is not a loop diuretic and does not act in the loop of Henle. It works in the distal tubules of the kidney.
B. This description is more accurate for thiazide diuretics. Spironolactone works as an aldosterone antagonist and primarily affects sodium and water retention.
C. This description applies to osmotic diuretics like mannitol, not spironolactone.
D. Spironolactone is a potassium-sparing diuretic that works by blocking aldosterone, preventing sodium and water retention, while promoting the retention of potassium.

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A nurse is caring for a client who has a low thyroid stimulating hormone (TSH) level and elevated thyroxine (T4) and triiodothyronine (13) levels. Which of the following medications should the nurse anticipate to treat Graves' disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a medication to a client for motion sickness. Which of the following medications has therapeutic use in treating motion sickness?

Correct Answer is D

Explanation

A client has a new prescription of spironolactone (Aldactone), and wants to learn about how the mechanism of action of this medication. Which of the following statements should the nurse explain to the client?

Correct Answer is D

Explanation

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