A nurse is caring for a client who has a new prescription for methimazole for hyperthyroidism. Which of the following findings should the nurse report to the provider as a potentially life-threatening adverse effect?

Sore throat

WBC count 12.000/mm3 (5.000 to 10,000/mm3)

Insomnia

Weight loss of 1 kg (2.2 pounds) in 2 weeks

Answer and Explanation

The Correct Answer is A

A. A sore throat in a client taking methimazole could indicate a serious neutropenic reaction, which is a potentially life-threatening side effect of this medication.

B. A WBC count of 12,000/mm³ is slightly elevated but not immediately life-threatening and is unlikely to be related to methimazole.

C. Insomnia is a common symptom of hyperthyroidism and not an adverse effect of methimazole.

D. Weight loss is expected with hyperthyroidism and does not warrant immediate concern unless it is severe or worsening.

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Correct Answer is A

Explanation

A. TPN is used for clients who cannot absorb nutrients via the intestinal tract, typically due to issues like severe malabsorption or bowel dysfunction.

B. Long-term nutritional support is typically provided via enteral feeding rather than TPN, unless the client cannot tolerate enteral feeding.

C. Gastric residual is relevant for clients receiving enteral nutrition (not TPN), which involves checking for residuals in the stomach before feeding.

D. TPN should be administered over a longer period (typically 12-24 hours), not 6 hours.

A. Urinary retention B. Diarrhea C. Low-grade fever D. Tachypnea

Correct Answer is A

Explanation

A. Urinary retention can occur as an adverse effect of both morphine (opioid) and amitriptyline (anticholinergic), which can lead to difficulty urinating.

B. Diarrhea is not a common interaction between morphine and amitriptyline. In fact, morphine often causes constipation.

C. Low-grade fever is not a known adverse interaction between these two drugs.

D. Tachypnea is not a typical adverse effect of the combination of morphine and amitriptyline.

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A nurse is caring for a client who has a new prescription for methimazole for hyperthyroidism. Which of the following findings should the nurse report to the provider as a potentially life-threatening adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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