The nurse is preparing a conference about hypothyroidism for a group of clients. Which of the following information should the nurse include in the conference?

This disorder is more common in men than women.

Low thyroid hormone levels may increase the heart rate.

Hypothyroidism can cause extreme fatigue.

People often lose weight unexpectedly when they have this condition.

Answer and Explanation

The Correct Answer is C

A. Hypothyroidism is actually more common in women than men, particularly in middle-aged and older women.
B. Low thyroid hormone levels typically lead to a slower heart rate (bradycardia), not an increased heart rate.
C. Hypothyroidism can cause extreme fatigue is correct. Fatigue is one of the most common symptoms of hypothyroidism due to the slowed metabolic processes resulting from low levels of thyroid hormones.
D. Hypothyroidism is associated with weight gain, not weight loss, due to a slowed metabolism. Unexpected weight loss is more commonly seen in hyperthyroidism.

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Correct Answer is A

Explanation

A. Magnesium hydroxide can interfere with the absorption of levothyroxine (Synthroid) and reduce its effectiveness. The nurse should notify the healthcare provider if the client is taking magnesium hydroxide or any other antacid that contains magnesium, calcium, or aluminum because these can decrease the absorption of levothyroxine.
B. While amitriptyline (an antidepressant) may interact with other medications, it does not typically interfere with levothyroxine. However, the nurse should always be cautious about potential interactions, especially with medications that affect the central nervous system.
C. Acetaminophen (Tylenol) does not typically interact with levothyroxine. It is safe to take acetaminophen while on levothyroxine.
D. Gabapentin (Neurontin) does not generally interfere with levothyroxine absorption or action. However, as with any medication, the nurse should be aware of other potential interactions based on the client’s overall health.

A. Cleanse the injection site with an isopropyl alcohol wipe. B. Examine the IV solution for sediment and crystals. C. Mix the solution with fruit juice and provide the client with a straw. D. Obtain the client's vital signs prior to administration.

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.

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The nurse is preparing a conference about hypothyroidism for a group of clients. Which of the following information should the nurse include in the conference?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the medication list with a client with hypothyroidism who is prescribed levothyroxine (Synthroid). The nurse should notify the health care provider if the client reported taking which of the following medications?

Correct Answer is A

Explanation

The nurse is preparing to administer prescribed saturated solution of potassium iodide (SSKI). Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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