A patient diagnosed with hyperthyroidism is about to start antithyroid medication therapy. Which food should the patient avoid as advised by the nurse?

Fava beans

Shellfish

Foods high in purine

Grapefruit

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Fava beans do not interact with antithyroid medications and do not need to be avoided specifically for this reason. However, it's important to note that fava beans can cause a condition called favism in individuals with a certain genetic predisposition. Favism is characterized by hemolytic anemia, which is the breakdown of red blood cells. If a patient has a history of favism or is unsure of their risk, it's best to avoid fava beans while on antithyroid medication and consult with their healthcare provider.

Choice B rationale:

Shellfish does not typically interact with antithyroid medications. However, some individuals with hyperthyroidism may have co-existing allergies to shellfish. In those cases, it's important to avoid shellfish to prevent allergic reactions, but this is not due to a direct interaction with antithyroid medications.

Choice C rationale:

Foods high in purine, such as organ meats, red meat, and certain seafood, are often restricted in individuals with gout. Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints. While hyperthyroidism can sometimes increase uric acid levels, there's no specific interaction between antithyroid medications and purine-rich foods. Therefore, avoiding purine- rich foods is not necessary for those on antithyroid therapy unless they have gout or a predisposition to it.

Choice D rationale:

Grapefruit and grapefruit juice can significantly interact with antithyroid medications, particularly methimazole and propylthiouracil. These medications are broken down by an enzyme called CYP3A4 in the liver. Grapefruit juice inhibits the activity of CYP3A4, which can lead to increased levels of antithyroid medications in the bloodstream. This can increase the risk of side effects from the medication, such as liver damage, bone marrow suppression, and skin reactions. Therefore, it's crucial for patients on antithyroid therapy to avoid grapefruit and grapefruit juice.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale:

Hypoglycemia is the most frequent side effect of insulin administration. It occurs when blood glucose levels drop too low, typically below 70 mg/dL.

Insulin is a hormone that plays a key role in regulating blood glucose levels. It works by promoting the uptake of glucose from the bloodstream into cells, where it can be used for energy.

When too much insulin is administered, or when blood glucose levels are already low, it can lead to hypoglycemia. Symptoms of hypoglycemia can vary, but they often include:

Shakiness Sweating Anxiety Hunger Palpitations Confusion Dizziness Blurred vision Seizures

Loss of consciousness

If hypoglycemia is not treated promptly, it can lead to serious complications, such as coma or death.

Therefore, it is important to be aware of the signs and symptoms of hypoglycemia and to take steps to prevent it. This may involve monitoring blood glucose levels regularly, adjusting insulin doses as needed, and carrying a source of fast-acting glucose, such as glucose tablets or juice, to treat hypoglycemia if it occurs.

A. Uncontrolled diabetes mellitus B. A recent diagnosis of lung cancer C. Acute exacerbation of COPD D. Chronic asthma

Correct Answer is C

Explanation

Choice A rationale:

Uncontrolled diabetes mellitus: Corticosteroids can have a hyperglycemic effect, meaning they can raise blood sugar levels. This makes them generally unsuitable for use in patients with uncontrolled diabetes mellitus. In fact, corticosteroids might even worsen glycemic control in these patients. While corticosteroids might be used in some cases of diabetes mellitus, such as to treat diabetic retinopathy or nephropathy, they would be used cautiously and with close monitoring of blood sugar levels.

Choice B rationale:

A recent diagnosis of lung cancer: Corticosteroids are not a primary treatment for lung cancer. They might be used in some cases to help manage symptoms or side effects of other treatments, such as chemotherapy or radiation therapy. However, they would not typically be used as a first-line treatment for lung cancer itself.

Choice C rationale:

Acute exacerbation of COPD: Corticosteroids are a mainstay of treatment for acute exacerbations of COPD. They work by reducing inflammation in the airways, which helps to improve airflow and relieve symptoms such as wheezing, shortness of breath, and chest tightness. Corticosteroids can be given orally, intravenously, or by inhalation. The dose and duration of treatment will depend on the severity of the exacerbation.

Choice D rationale:

Chronic asthma: Corticosteroids are often used as a long-term control medication for chronic asthma. However, they are typically used at lower doses than those used for acute exacerbations of COPD. Inhaled corticosteroids are the preferred form of treatment for chronic asthma, as they deliver the medication directly to the airways and have fewer systemic side effects.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient diagnosed with hyperthyroidism is about to start antithyroid medication therapy. Which food should the patient avoid as advised by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the most frequently observed side effect of insulin administration?

Correct Answer is A

Explanation

Which medical condition would warrant a prescription for high-dose corticosteroids?

Correct Answer is C

Explanation

A patient diagnosed with hyperthyroidism is about to start antithyroid medication therapy. Which food should the patient avoid as advised by the nurse?

The nurse is aware that which insulins are long-acting and should be administered once daily at bedtime? (Select all that apply.)

For which of the following patients would the RN anticipate an order for sodium bicarbonate IVP?

A patient was admitted to the intensive care unit with cardiogenic shock and a blood pressure of 78/38. Which vasopressor medication does the nurse identify as the first-line treatment for cardiogenic shock?

Which patient’s condition would raise concerns regarding the administration of labetalol (Normodyne)?

A client diagnosed with type 2 diabetes will begin taking metformin (Glucophage). The nurse understands that the client is at risk for which serious condition(s) when taking metformin (Glucophage)?

A patient with a suspected myocardial infarction is in the emergency department. The nurse is preparing to administer 325 mg of aspirin. What action should the nurse take?