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?

Choice A rationale

Patients with hyperparathyroidism should maintain adequate hydration to help prevent kidney stones and other complications related to high calcium levels. Consuming less than 1 liter of fluid per day is insufficient and can lead to dehydration and increased calcium concentration in the blood, exacerbating the condition.

Choice B rationale

Regular physical activity, such as using a treadmill or walking, is beneficial for patients with hyperparathyroidism. Exercise helps to improve overall health, maintain bone density, and reduce the risk of complications associated with hypercalcemia.

Choice C rationale

A moderate-calcium, high-fiber diet is recommended for managing hyperparathyroidism. Adequate dietary fiber aids in digestion and helps prevent constipation, which is a common symptom of hypercalcemia. Moderating calcium intake is important to manage the condition.

Choice D rationale

Alendronate is a bisphosphonate medication that helps to prevent bone resorption and reduce calcium release into the bloodstream. It is an effective treatment for managing hyperparathyroidism and helps to maintain bone health. .

Choice A rationale

Administering intravenous fluids with glucose is essential for a patient with Addison's disease who has been exposed to stressors like prolonged sun exposure. Patients with Addison's disease may experience an adrenal crisis, characterized by low blood pressure, dehydration, and hypoglycemia. Intravenous fluids with glucose help to rehydrate the patient and restore blood sugar levels, which are critical in preventing shock and other severe complications.

Choice B rationale

Administering 1000 mg of acetaminophen orally is not the priority intervention for this patient. While it may help reduce fever, it does not address the underlying issues of Addison's disease, such as hypoglycemia and dehydration, which are more urgent. The primary concern should be stabilizing the patient's vital signs and electrolyte balance.

Choice C rationale

Educating the patient about ordered hydrocortisone is important for long-term management of Addison's disease, but it is not the immediate priority in an emergency situation. The patient requires prompt medical intervention to address the acute symptoms of adrenal insufficiency, such as lethargy and hypoglycemia.

Choice D rationale

Exploring options to minimize stress is relevant for managing Addison's disease in general, as stress can trigger an adrenal crisis. However, in the emergency department, the nurse's priority should be to stabilize the patient and manage acute symptoms. Stress management can be addressed once the patient's condition is stabilized.