A patient has been prescribed radioactive iodine in preparation for a total thyroidectomy due to thyroid cancer. What advice about taking the medication should the nurse provide?
“You can discontinue this medication at any time if you are uncomfortable with how you feel.”.
“Increase your consumption of iodine-rich foods, such as iodized salt and shellfish.”.
“Use a straw to drink this medication to prevent staining your teeth.”.
“This medication will eliminate the need for thyroid hormone replacement.”.
The Correct Answer is D
Choice A rationale
It is not advisable for a patient to discontinue radioactive iodine therapy at any time if they feel uncomfortable. Radioactive iodine therapy is a safe and effective treatment for certain types of thyroid cancer. Discontinuing the medication without medical advice could lead to ineffective treatment.
Choice B rationale
Increasing the consumption of iodine-rich foods is not necessary when a patient is prescribed radioactive iodine. The body’s thyroid cells absorb the radioactive iodine, which then destroys the cells. Consuming additional iodine would not enhance this process.
Choice C rationale
Using a straw to drink the medication is not necessary. Radioactive iodine is usually given in pill form, not as a liquid. Therefore, there is no risk of it staining the patient’s teeth.
Choice D rationale
This statement is correct. After a total thyroidectomy, the patient will no longer have thyroid tissue that can produce thyroid hormones. Therefore, the radioactive iodine will not eliminate the need for thyroid hormone replacement.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
While measuring the correct dosage is an important step in administering nystatin, it is not the first step. The first step should always be to ensure that the medication is properly mixed to ensure an even distribution of the medication.
Choice B rationale
Recording the amount of medication administered is an important step in medication administration, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice C rationale
Instructing the client to swish the nystatin around their mouth is an important part of the administration process, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice D rationale
Vigorously shaking the nystatin bottle is the first step in administering nystatin. This ensures that the medication is properly mixed and that the patient will receive the correct dosage.
Correct Answer is A
Explanation
Choice A rationale
Misoprostol is a medication that can help protect the stomach lining and reduce the risk of gastric irritation and ulcers caused by NSAIDs.
Choice B rationale
Ranitidine is a type of antacid that can help reduce stomach acid and relieve symptoms of heartburn, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice C rationale
Sucralfate is a medication that can help treat and prevent ulcers in the stomach and intestines, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice D rationale
Esomeprazole is a proton pump inhibitor that can reduce stomach acid and relieve symptoms of gastroesophageal reflux disease (GERD), but it does not specifically protect the stomach lining from the effects of NSAIDs. Prednisone Prednisone Explore
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