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?

Dysmenorrhea.

Constipation.

Sore throat.

Increased urine output.

Answer and Explanation

The Correct Answer is C

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.

Nursing Test Bank

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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.

A. Neutropenia. B. Alopecia. C. Thrombosis. D. Lymphadenopathy. E. Infertility.

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 assessing a patient with prostate cancer who is receiving chemotherapy.What findings will the nurse identify as potential toxicities of this treatment? Select All That Apply.

Correct Answer is ["A","B","E"]

Explanation

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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?