A patient started propylthiouracil therapy a month ago and is here for a follow-up lab test (results shown below). Which lab value should the nurse be most concerned about?
T3 and T4
White blood cell count
Hemoglobin and Hematocrit
Platelet count
The Correct Answer is B
Choice A rationale
T3 and T4 are thyroid hormones. While it’s important to monitor these levels in a patient on propylthiouracil therapy, they are not the most concerning lab value.
Choice B rationale
The white blood cell count should be the nurse’s primary concern. Propylthiouracil can cause agranulocytosis, a serious condition characterized by a decrease in the number of white blood cells, which can lead to infection.
Choice C rationale
Hemoglobin and hematocrit levels are important to monitor, but they are not the most concerning lab value in this context.
Choice D rationale
While it’s important to monitor platelet count in a patient on propylthiouracil therapy, it’s not the most concerning lab value.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While older age and the use of certain medications can increase the risk of developing drug- resistant tuberculosis, these factors alone do not pose the greatest risk.
Choice B rationale
The presence of a red-orange color in the urine after being treated with rifampin is a common side effect of the medication and does not indicate an increased risk of developing drug- resistant tuberculosis.
Choice C rationale
A patient who has been taking rifampin and isoniazid as prescribed for 24 months is not at the greatest risk of developing drug-resistant tuberculosis. Adherence to the prescribed treatment regimen is actually crucial in preventing the development of drug-resistant strains of the disease.
Choice D rationale
A patient who did not complete the full course of anti-tubercular therapy in the past is at the greatest risk of developing a drug-resistant form of the disease. Incomplete treatment can allow tuberculosis bacteria to develop resistance to the medications used, leading to the emergence of drug-resistant strains.
Correct Answer is A
Explanation
Choice A rationale
Metformin is an oral antidiabetic medication that is typically withheld on the morning of surgery due to the risk of lactic acidosis, especially if the surgery involves the use of contrast dye.
Choice B rationale
Metoprolol is a beta-blocker used to treat hypertension and other heart conditions. It is typically continued up to and including the day of surgery to maintain heart rate and blood pressure control.
Choice C rationale
Prednisone is a corticosteroid medication. If a patient is on long-term corticosteroid therapy, it is typically continued on the day of surgery to prevent adrenal insufficiency.
Choice D rationale
Levothyroxine is a thyroid hormone replacement medication. It is typically continued on the day of surgery to maintain thyroid hormone levels.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.