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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Temperature is important but not the priority following sedation.
B. Oxygen saturation is the priority assessment, as midazolam can depress respiratory function, leading to hypoxia or respiratory arrest.
C. Heart rate is important but secondary to oxygenation in this case.
D. Level of consciousness is monitored but is not the priority over respiratory status.
Correct Answer is A
Explanation
A. Frequent premature ventricular contractions (PVCs) can be caused by furosemide, as it may lead to electrolyte imbalances, especially hypokalemia.
B. Hypoglycemia is not a common adverse effect of furosemide.
C. Blood pressure 138/86 mm Hg is within the acceptable range for clients with heart failure and is not an adverse effect of furosemide.
D. Decreased LDL cholesterol and triglycerides is not an expected outcome of furosemide administration.
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