The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?

Offer both drugs together with a meal.

Administer iodine one hour before PTU.

Schedule both medications at bedtime.

Give parental dose once every 24 hours.

Answer and Explanation

The Correct Answer is B

A. Offer both drugs together with a meal:
Propylthiouracil (PTU) and Lugol's solution are typically not administered together with a meal. Lugol's solution, a strong iodine solution, is generally taken separately from PTU to avoid potential interactions and ensure optimal absorption of each medication.

B. Administer iodine one hour before PTU:
Lugol’s solution (iodine) is usually given before PTU because iodine can decrease the vascularity of the thyroid gland and make the thyroid gland less active, which helps PTU work more effectively. This timing helps optimize the therapeutic effects of both medications.

C. Schedule both medications at bedtime:
The timing of administration for PTU and Lugol’s solution is based on their specific interactions and pharmacokinetics rather than convenience. Scheduling them at bedtime does not align with the recommended practice for their optimal effectiveness.

D. Give parental dose once every 24 hours:
Both PTU and Lugol’s solution are not administered as a single dose every 24 hours. PTU is typically given multiple times per day to maintain effective blood levels, and Lugol’s solution is usually given as directed by the healthcare provider, often several times a day but not necessarily in a single 24-hour dose.

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 D

Explanation

A) Determine Glasgow Coma Scale score: While assessing the Glasgow Coma Scale (GCS) score is important for evaluating the level of consciousness and neurological status, it does not address the immediate life-threatening issue of severe respiratory depression and hypoxia. The client's critical respiratory status and low oxygen saturation require more urgent intervention.

B) Prepare to assist with chest tube insertion: Preparing for chest tube insertion is not appropriate in this scenario, as the client's symptoms are related to severe respiratory depression rather than a condition that would require chest drainage. Chest tube insertion is indicated for conditions such as pneumothorax or pleural effusion, not for opioid overdose.

C) Initiate cardiopulmonary resuscitation (CPR): CPR would be necessary if the client were in cardiac arrest or if there were no pulse and respiratory effort. However, the immediate issue appears to be severe respiratory depression rather than cardiac arrest, so administering a second dose of naloxone is a more appropriate and immediate action to address the cause of the client's condition.

D) Administer a second dose of naloxone: Given the client’s severe respiratory depression and low oxygen saturation despite the initial dose of naloxone, it is crucial to administer a second dose. Naloxone is used to reverse opioid overdose effects, and its administration should be repeated if symptoms persist, ensuring the client’s safety and potentially reversing the opioid’s effects on the respiratory system.

A. Wear padding to protect from bruising if a fall occurs. B. Take measures to avoid dehydration and over-heating. C. Avoid crowds to help prevent acquiring infections. D. Keep skin and eyes covered to protect from sun injury.

Correct Answer is B

Explanation

A. Wear padding to protect from bruising if a fall occurs:
While safety precautions are important for any physical activity, the specific concern with oxybutynin is not related to a higher risk of falls or bruising. The primary issue is managing side effects that might affect hydration and body temperature.

B. Take measures to avoid dehydration and over-heating:
Oxybutynin can cause dry mouth and decreased sweating, which can increase the risk of dehydration and overheating, especially during intense physical activities like running. Emphasizing hydration and measures to avoid overheating is crucial to prevent complications.

C. Avoid crowds to help prevent acquiring infections:
Oxybutynin does not typically affect the immune system or increase the risk of infections. The client’s concern should focus on managing side effects related to exercise and hydration, rather than avoiding crowds.

D. Keep skin and eyes covered to protect from sun injury:
Oxybutynin does not have a direct effect on sun sensitivity or increase the risk of sunburn. While sun protection is generally important for outdoor activities, it is not a specific concern related to the use of oxybutynin.

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

The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?

Correct Answer is D

Explanation

A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize?

Correct Answer is B

Explanation

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?

To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?

A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, "600,000 units/2 mL." How many mL should the nurse administer? (Enter numeric value only.)

Which nursing intervention has priority when initiating a continuous epidural infusion with an opioid analgesic?

A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?