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 D

Explanation

A. Calculate the correct amount of the medication: This is an important step but should be done after confirming the client's identity to ensure medication safety.
B. Validate the prescription with the available medication: Validating the prescription is essential, but client identification should be the priority before administering the medication.
C. Document the time of the medication administration: Documentation is done after the medication is administered, and client identification must come first.
D. Identify the client using two means of identification: This is the most critical first step to ensure the correct patient is receiving the correct medication.

A. Use the Z-track technique to administer the medication. B. Administer the medication with a 27-gauge 1/2-inch needle. C. Inject the medication at least 5 cm (2 in) from the umbilicus. D. Give the medication without aspirating prior to injection.

Correct Answer is A

Explanation

A. Use the Z-track technique to administer the medication.: The Z-track technique prevents irritation by sealing the medication within the muscle tissue.
B. Administer the medication with a 27-gauge 1/2-inch needle.: IM injections require a longer needle, typically 1–1.5 inches, and a larger gauge, such as 21–25.
C. Inject the medication at least 5 cm (2 in) from the umbilicus.: This is relevant for subcutaneous injections, not IM injections.
D. Give the medication without aspirating prior to injection.: Aspiration is not always required for IM injections but is often practiced for safety when administering certain medications.

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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?

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