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.
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Related Questions
Correct Answer is C
Explanation
A. Donepezil (Aricept) does not stop or cure Alzheimer's disease. It helps to manage symptoms, but it does not halt the progression of the disease. The disease will still progress, but the medication may help improve cognitive function and slow down symptom deterioration temporarily.
B. Donepezil may take several weeks to months to show any noticeable effects. Immediate improvements in cognitive function are unlikely, and it should not be expected to cause quick or dramatic changes in thinking.
C. Donepezil is a cholinesterase inhibitor that works by increasing acetylcholine levels in the brain, which helps to improve communication between nerve cells. It helps manage the cognitive symptoms of Alzheimer's disease, such as memory loss and confusion, but does not cure or prevent the disease.
D. Donepezil works by inhibiting acetylcholinesterase, the enzyme that breaks down acetylcholine. By doing this, it helps increase the availability of acetylcholine in the brain, rather than slowing its uptake. This increased availability can help improve cognitive function in people with Alzheimer's disease.
Correct Answer is A
Explanation
A. Look directly at the person you are talking to helps enhance communication by using facial expressions and visual cues, which can compensate for the soft, monotone, or slurred speech often seen in clients with Parkinson’s disease.
B. Stopping to take a breath after each word would make speech more fragmented and harder to follow. It is not a recommended strategy.
C. A hearing aid would help the listener if they had hearing loss, but it does not assist the client with Parkinson’s who is having difficulty speaking, not hearing.
D. Speaking louder may help, but speaking faster is counterproductive. Clients with Parkinson’s often benefit from slower, more deliberate speech and may work with a speech therapist to use strategies like the Lee Silverman Voice Treatment (LSVT), which focuses on increasing vocal loudness—not speed.
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