A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective?

Weight gain

Decreased menstrual flow

Clear breath sounds

Increased libido

Answer and Explanation

The Correct Answer is A

A. Weight gain: Methimazole is used to treat hyperthyroidism, and effective treatment often leads to weight gain, as metabolism normalizes.
B. Decreased menstrual flow: Methimazole can affect menstrual cycles, but decreased flow is not an indicator of effectiveness.
C. Clear breath sounds: This is not related to the effectiveness of methimazole.
D. Increased libido: Changes in libido are not a direct indicator of methimazole’s effectiveness.

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Correct Answer is C

Explanation

A. Request a different medication from the provider: Erythromycin is an alternative to penicillin for patients with penicillin allergies and can be administered safely.
B. Premedicate the client with diphenhydramine: This is not necessary unless the client has a history of allergic reactions to erythromycin or other antibiotics.
C. Administer the medication to the client: Erythromycin is a macrolide antibiotic and is safe for clients who are allergic to penicillin.
D. Request a different route of administration from the provider: The route of administration (oral) is appropriate unless there is a specific concern.

A. Clients must have a Papanicolaou test every 6 months during treatment. B. Sexually active female clients must use two forms of birth control during treatment. C. Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy. D. Female clients must have a negative mammogram prior to beginning therapy.

Correct Answer is B

Explanation

A. Pap smears are not related to isotretinoin therapy.
B. Due to teratogenic risks, two forms of contraception are mandatory, starting 1 month before treatment.
C. Vitamin A supplementation increases toxicity risk and is contraindicated.
D. Mammograms are not required for isotretinoin therapy.

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A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?

Correct Answer is B

Explanation

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