The nurse is assessing a client taking prescribed propylthiouracil (PTU) therapy. What should the nurse further assess?
Decreased nervousness
Sore throat and increased ecchymosis
Heart rate greater than 60 and less than 100 beats/min
Reduced tremor
The Correct Answer is B
A. Decreased nervousness might be a result of effective treatment for hyperthyroidism, but it is not the most critical symptom to assess in relation to propylthiouracil (PTU) therapy.
B. Sore throat and increased ecchymosis Propylthiouracil (PTU) can cause serious side effects, including agranulocytosis (a severe decrease in white blood cells), which can result in sore throat, fever, and increased bruising or ecchymosis. These symptoms suggest a possible infection or bleeding disorder and should be promptly assessed and reported to a healthcare provider.
C. Heart rate greater than 60 and less than 100 beats/min PTU is used to treat hyperthyroidism, which can cause an elevated heart rate. A heart rate between 60 and 100 beats per minute is generally within normal limits and does not specifically warrant further assessment in this case.
D. A reduced tremor may be a positive sign of treatment effectiveness, as tremors are common in hyperthyroidism. However, this does not necessitate further assessment related to PTU therapy, unlike more serious side effects such as agranulocytosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Saturated solution of potassium iodide (SSKI) is typically administered orally, not by injection. Therefore, cleansing an injection site is not relevant to this medication.
B. SSKI is not administered intravenously, so this step is unnecessary. Potassium iodide is given orally, so examining it for IV-related concerns such as crystals is not applicable.
C. SSKI has an unpleasant taste, so it is commonly mixed with fruit juice (or another liquid like water) to make it more palatable. Using a straw can help minimize the direct contact with the teeth and reduce the risk of irritation to the mouth and throat.
D. While monitoring vital signs is important for assessing the overall health status of the client, it is not routinely required specifically prior to administering SSKI, unless there are indications of a more serious issue or pre-existing conditions like thyroid dysfunction that may require more monitoring. This action would be more relevant for medications that directly affect hemodynamics or electrolyte balance, which is not a typical concern for SSKI.
Correct Answer is A
Explanation
A. In type 1 diabetes, the pancreas either does not produce any insulin or produces very little insulin. Insulin is necessary to help regulate blood sugar levels by allowing glucose to enter cells. In type 2 diabetes, the body may not respond to insulin effectively (insulin resistance), or the pancreas may not produce enough insulin to meet the body's needs. Either way, insulin production or function is impaired, leading to elevated blood sugar levels.
B. The pancreas does not break down glycogen. Instead, the liver breaks down glycogen into glucose when blood sugar is low. The pancreas's role in diabetes is primarily related to insulin production or secretion, not the breakdown of glycogen.
C. Glucagon is a hormone produced by the pancreas that signals the liver to release glucose when blood sugar is low. In diabetes, the issue is typically with insulin production or the body’s response to insulin, not an overproduction of glucagon.
D. This statement is confusing. The liver does not absorb insulin. In type 2 diabetes, the problem is typically insulin resistance, meaning the body’s cells, including those in the liver, do not respond properly to insulin. In type 1 diabetes, the issue is a lack of insulin production.
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