The nurse is caring for a patient with myxedema coma who has an order for levothyroxine intravenous bolus.

The order reads levothyroxine 0.5 mg intravenous bolus at a rate of 100 mcg/min.

The nurse will administer the medication over how many minutes? Fill in the blank with the numerical value only.

Answer and Explanation

The Correct Answer is ["5"]

The correct answer is 5.

Step 1 is 0.5 mg × 1000 mcg ÷ 1 mg = 500 mcg.

Step 2 is 500 mcg ÷ 100 mcg/min = 5 min.

Nursing Test Bank

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Correct Answer is C

Explanation

Choice A rationale

Dysmenorrhea, or painful menstrual cramps, is not a common side effect of propylthiouracil (PTU). PTU is used to manage hyperthyroidism, and it primarily affects the thyroid gland and related metabolic processes. Dysmenorrhea is typically related to reproductive system disorders and hormonal changes, rather than the medication for thyroid conditions.

Choice B rationale

Constipation is also not a typical symptom associated with propylthiouracil (PTU). PTU's effects are focused on thyroid hormone production, and constipation is more commonly related to other factors such as diet, hydration, and gastrointestinal conditions. Reporting constipation would not be as relevant in the context of PTU therapy.

Choice C rationale

Sore throat is a significant symptom to report as it can indicate agranulocytosis, a rare but severe side effect of propylthiouracil (PTU). Agranulocytosis is a condition where the body has a dangerously low number of white blood cells, which compromises the immune system, making infections more likely and harder to fight off. Early detection and intervention are crucial to prevent serious complications.

Choice D rationale

Increased urine output is not typically associated with propylthiouracil (PTU). While changes in metabolism can occur, increased urine output is more often related to other conditions such as diabetes mellitus or diuretic use. Reporting this symptom would not directly relate to PTU therapy.

A. Administer filgrastim (granulocyte colony stimulating factor (G-CSF)) as ordered. B. Keep the patient's central line insertion site clean and open to air. C. Educate the patient and family about food safety and hygiene. D. Provide a high-protein, high-calorie diet.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Administering filgrastim (G-CSF) as ordered is crucial for patients with a low ANC. Filgrastim stimulates the production of neutrophils in the bone marrow, helping to reduce the risk of infections. For a patient with an ANC of 500/mm³, which indicates severe neutropenia, this intervention can significantly enhance the immune response and decrease susceptibility to infections.

Choice B rationale

Keeping the patient's central line insertion site clean and open to air is incorrect and could increase the risk of infection. Central line sites must be covered with a sterile dressing to prevent bacterial contamination and infection. Open exposure to air can introduce pathogens, especially in a patient with neutropenia.

Choice C rationale

Educating the patient and family about food safety and hygiene is essential for preventing infections in patients with neutropenia. Proper food handling and hygiene practices reduce the risk of bacterial and other infections. This education can help patients and their families implement measures to protect the patient from potential sources of infection.

Choice D rationale

Providing a high-protein, high-calorie diet is appropriate for supporting the patient's overall health and recovery. High-protein and high-calorie foods support the body's immune function, repair tissues, and maintain energy levels. Proper nutrition is vital for patients with leukemia to help them cope with the demands of their illness and treatment.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to a patient with Graves' disease who has a prescription for propylthiouracil (PTU) 300 mg orally every 8 hours.Which symptom will the nurse teach the patient to report to the healthcare provider?

Correct Answer is C

Explanation

The nurse is caring for a patient with leukemia who has an absolute neutrophil count (ANC) of 500/mm³. What interventions will the nurse include in the plan of care for this patient related to this finding? Select All That Apply.

Correct Answer is ["A","C","D"]

Explanation

The nurse is caring for a patient who has been in remission from breast cancer for five years.What intervention will the nurse include as a component of survivorship care for this patient?

The nurse is assessing a patient who has received the first dose of chemotherapy for leukemia.Which patient's clinical findings indicate to the nurse that the patient has developed tumor lysis syndrome (TLS)?

The nurse is caring for a patient with lymphoma who is receiving chemotherapy.The patient's laboratory results are below.What interventions will the nurse implement related to these results? ANC (Absolute neutrophil count): 2400/mm³. Hemoglobin: 8.4 g/dL. Hematocrit: 25.9%. Platelets: 6,000/mm³.

The nurse is caring for a patient with Addison's disease in the emergency department.The patient states that they were out in the sun gardening all day and is now lethargic, forgetful, and has a temperature of 101.5°F. What intervention will the nurse prioritize when caring for this patient?

The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.What intervention will the nurse implement for this patient?

The nurse is caring for a patient who was treated for Addisonian crisis.What clinical change indicates to the nurse that the prescribed therapy was effective?

The nurse is evaluating a patient with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day for maintenance therapy.Which statement from the patient indicates the medication therapy is effective?

The nurse on the oncology unit is caring for a patient receiving chemotherapy for treatment of leukemia.Which patient finding is the nurse's priority for implementing interventions?