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?
"I have lost weight since taking this medication.”
"I perspire a lot throughout the entire day.”
"I have excess energy throughout the day.”
"I am able to sleep and rest at night.”
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale
Weight loss in a patient with hyperthyroidism typically occurs due to an increased metabolic rate. Propylthiouracil (PTU) is used to decrease thyroid hormone production. Effective treatment would stabilize metabolism and prevent further weight loss, but not necessarily result in weight gain.
Choice B rationale
Excessive sweating (perspiration) is a common symptom of hyperthyroidism due to an overactive thyroid gland. PTU aims to reduce thyroid hormone levels. Effective treatment should lead to a decrease in sweating as the metabolic rate normalizes.
Choice C rationale
Excess energy and hyperactivity are signs of untreated or inadequately treated hyperthyroidism. PTU reduces the production of thyroid hormones, and effective treatment should alleviate symptoms of excessive energy, resulting in more balanced energy levels.
Choice D rationale
Improved sleep and rest at night indicate effective management of hyperthyroidism. Reduced thyroid hormone levels from PTU help alleviate symptoms such as anxiety, restlessness, and insomnia, allowing the patient to achieve better sleep quality. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Neutropenic precautions and broad-spectrum antibiotics are indicated for patients with neutropenia to prevent infections. However, the patient's ANC is within the normal range (2400/mm³), so these measures are not necessary. This choice does not address the low hemoglobin and platelet count.
Choice B rationale
Contact isolation precautions and intravenous prednisone are not relevant to the patient's current condition. Prednisone is an immunosuppressive corticosteroid used for inflammatory and autoimmune conditions, but it does not address the patient's anemia or thrombocytopenia.
Choice C rationale
Bleeding precautions and platelet transfusion are appropriate interventions for the patient. The platelet count is critically low (6,000/mm³), putting the patient at high risk for spontaneous bleeding. Platelet transfusion is needed to increase platelet levels and reduce bleeding risk. Bleeding precautions, such as avoiding invasive procedures and using gentle oral care, help minimize the risk of hemorrhage.
Choice D rationale
Bedrest and packed red blood cell transfusion address the patient's anemia (hemoglobin 8.4 g/dL, hematocrit 25.9%). While these interventions are necessary to improve oxygen-carrying capacity, they do not address the critical issue of thrombocytopenia. Combining interventions C and D would be ideal for comprehensive care, but based on the question, Choice C is most critical for immediate bleeding risk management. .
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Neutropenia is a common side effect of chemotherapy for prostate cancer. It involves a low neutrophil count, making patients more susceptible to infections.
Choice B rationale
Alopecia, or hair loss, is a frequent side effect of chemotherapy due to the treatment attacking rapidly dividing cells, including hair follicles.
Choice C rationale
Thrombosis, the formation of blood clots, is not a typical side effect of chemotherapy for prostate cancer. While cancer itself may increase clotting risk, chemotherapy is not directly linked to thrombosis.
Choice D rationale
Lymphadenopathy, the enlargement of lymph nodes, is not a common toxicity of chemotherapy. It may occur in cancer progression or other infections but not directly due to chemotherapy.
Choice E rationale
Infertility can result from chemotherapy as it can harm reproductive cells. Patients may need to discuss fertility preservation methods before starting treatment.
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