A nurse is teaching a client who has hyperthyroidism about managing the potential adverse effects of methimazole. Which of the following concepts should the nurse include?
Methods for managing vasomotor diaphoresis
Manifestations of agranulocytosis
Interactions with combined oral contraceptive pills
Consistency with dietary intake of leafy green vegetables
The Correct Answer is B
A. Methods for managing vasomotor diaphoresis: While clients with hyperthyroidism may experience excessive sweating, methimazole does not specifically cause or worsen diaphoresis.
B. Manifestations of agranulocytosis: Methimazole can cause agranulocytosis, a serious reduction in white blood cells. Clients should be taught to report symptoms such as fever, sore throat, or signs of infection promptly, as early detection is critical to prevent severe complications.
C. Interactions with combined oral contraceptive pills: Methimazole does not have significant interactions with oral contraceptives. While medication interactions should always be considered, this is not a primary teaching point for methimazole adverse effects.
D. Consistency with dietary intake of leafy green vegetables: Dietary intake of leafy greens is important for clients taking warfarin due to vitamin K content, but it does not affect methimazole therapy or its side effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ranitidine: Ranitidine is an H2 receptor blocker that generally has minimal interaction with warfarin and does not significantly affect its anticoagulant effect.
B. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding when taken with warfarin. NSAIDs inhibit platelet function and can potentiate the anticoagulant effect, making concurrent use dangerous.
C. Flaxseed: Flaxseed may have mild anticoagulant properties, but it does not pose as significant a risk as NSAIDs. It can usually be consumed with caution while monitoring for bleeding.
D. Soy: Soy products can have minor effects on warfarin metabolism, but they are not typically associated with a high risk of serious interactions. Monitoring may be sufficient rather than strict avoidance.
Correct Answer is D
Explanation
A. Document the updated list and send it to the pharmacy: Documentation occurs after all medications have been reviewed and discrepancies resolved. Completing this step first could result in incomple te or inaccurate records.
B. Compare preadmission medications to current medications: Comparison is done after compiling a comprehensive list of current medications. Without knowing exactly what the client is taking, discrepancies cannot be identified.
C. Address any discrepancies between current medications and new prescriptions: Resolving discrepancies comes after compiling and comparing medication lists. This ensures that interventions are based on accurate and complete information.
D. Compile a list of all medications the client is currently taking: The first step in medication reconciliation is gathering a complete and accurate list of all medications, including prescriptions, over-the-counter drugs, and supplements. This forms the foundation for safe comparison and management.
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