The nurse is preparing a patient for a test that will involve the use of contrast media. Which finding in the patient's health history should be reported to the physician before the examination?

The patient's food allergies include shrimp.

The patient takes prescribed potassium supplements.

The patient did not take his morning dose of antihypertensive medication.

The patient was not NPO for at least 6 hours.

Answer and Explanation

The Correct Answer is A

A. The patient's food allergies include shrimp: Individuals with shellfish allergies may be at risk for an allergic reaction to iodine-based contrast media. The nurse should report this to the physician as it could increase the likelihood of an allergic reaction during the procedure.

B. The patient takes prescribed potassium supplements: While it is important to monitor potassium levels, taking potassium supplements is not directly related to the use of contrast media. There is no immediate concern.

C. The patient did not take his morning dose of antihypertensive medication: This is generally not an urgent concern. Missing a dose of antihypertensive medication does not directly affect the safety or effectiveness of contrast media.

D. The patient was not NPO for at least 6 hours: While it is important for the patient to be NPO before certain procedures, missing the fasting requirement may be an issue, but it is not as critical as a potential allergy to contrast media.

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Correct Answer is A

Explanation

A. Full therapeutic effect may take 1 to 3 weeks: Levothyroxine (Synthroid) typically starts to show effects within 1 to 3 weeks, but full therapeutic effects may take several weeks to months for symptoms like fatigue and depression to improve.

B. Full therapeutic effect may take up to 4 months: Levothyroxine typically shows initial improvement within 1 to 3 weeks, not 4 months. Full stabilization can take a few months, but this is too long for initial effects.

C. Diarrhea as an early side effect diminishes with time: Levothyroxine does not typically cause diarrhea. Constipation is more common in hypothyroidism, and any gastrointestinal issues should be reported to the provider.

D. Weight gain or edema formation is greatest in the first month: Levothyroxine helps reverse weight gain and edema caused by hypothyroidism. Weight gain is not a side effect of the medication.

A. lodine will be administered in the 2 weeks before surgery to increase the level of thyroid hormone being released into the bloodstream. B. Salt should be avoided during the 2 weeks before surgery. C. Medications will be administered to increase the vascularity of the gland before D. Medications will be administered in the 2 weeks before surgery to reduce the vascularity of the gland.

Correct Answer is D

Explanation

A. Iodine will be administered in the 2 weeks before surgery to increase the level of thyroid hormone being released into the bloodstream: Iodine is used to reduce thyroid hormone production and decrease vascularity of the thyroid gland, not to increase it before surgery.

B. Salt should be avoided during the 2 weeks before surgery: There is no requirement to avoid salt before a thyroidectomy, and it is not part of the standard preoperative care for this procedure.

C. Medications will be administered to increase the vascularity of the gland before surgery: Increased vascularity in the thyroid gland can complicate surgery, so medications are used to decrease vascularity, not increase it.

D. Medications will be administered in the 2 weeks before surgery to reduce the vascularity of the gland: Iodine and other medications are often used to reduce the vascularity and size of the thyroid gland before surgery, which helps minimize the risk of excessive bleeding during the procedure.

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The nurse is preparing a patient for a test that will involve the use of contrast media. Which finding in the patient's health history should be reported to the physician before the examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who exhibits fatigue, lack of energy, constipation, and depression is diagnosed with hypothyroidism. The physician prescribes levothyroxine (Synthroid). To increase the likelihood of medication compliance in the early course of treatment, the nurse plans to alert the client that:

Correct Answer is A

Explanation

The nurse is caring for a patient scheduled for a thyroidectomy. Which instruction should be included in the preoperative care?

Correct Answer is D

Explanation

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