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. Dantrolene is the antidote for malignant hyperthermia, a life-threatening complication of certain anesthetics and muscle relaxants like succinylcholine.

B. Naloxone reverses opioid overdose.

C. Acetylcysteine treats acetaminophen overdose.

D. Baclofen is a muscle relaxant but is not effective for malignant hyperthermia.

A. 1300 B. 1100 C. 1700 D. 2200

Correct Answer is A

Explanation

A. At a rate of 100 mL/hr, a 1,000 mL bag will infuse over 10 hours. Starting at 0700, the infusion will complete at 1700, but the nurse typically hangs a new bag 1 hour before completion to avoid delays. 1300 is 6 hours in, leaving 400 mL; it allows enough time to prepare and change bags proactively.

B. 1100 is too early.

C. 1700 is too late – the bag would be empty by then.

D. 2200 is unrelated to the infusion timeline.

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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

A nurse is caring for a client who received succinylcholine IV bolus during an abdominal surgery. The client develops malignant hyperthermia. The nurse should administer which of the following medications?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving lactated Ringer's at a rate of 100 mL/hr. The nurse initiates a 1,000 mL bag of solution at 0700. The nurse should expect to hang another bag of IV solution at which of the following times?

Correct Answer is A

Explanation

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