The nurse is providing discharge teaching to a client newly prescribed methimazole for hyperthyroidism. Which statement by the client indicates a need for further teaching?

“I will report any sore throat or fever to my healthcare provider right away."

"I can stop taking the medication once I feel better."

“I understand that I may need regular blood tests while taking this medication."

"I will take the medication at the same time each day."

Answer and Explanation

The Correct Answer is B

A. “I will report any sore throat or fever to my healthcare provider right away.": Sore throat and fever can be signs of agranulocytosis, a rare but serious side effect of methimazole. It is important for the patient to immediately report these symptoms to their healthcare provider.

B. "I can stop taking the medication once I feel better.": Methimazole is used to treat hyperthyroidism and must be taken for the long term as prescribed. Stopping the medication without consulting the healthcare provider could lead to relapse or worsening of the condition.

C. “I understand that I may need regular blood tests while taking this medication.": Methimazole can affect blood cell counts and liver function, so regular blood tests are necessary to monitor for potential side effects and to ensure the medication is effective.

D. "I will take the medication at the same time each day.": It is important for the patient to take methimazole consistently at the same time every day to maintain stable levels of the medication in the body and help manage hyperthyroidism effectively.

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Correct Answer is B

Explanation

A. The patient has recently received a raise and a promotion at work: Positive life events, such as a raise or promotion, are less likely to cause significant worsening of symptoms. Positive changes are generally less impactful than negative stressors on thyroid conditions.

B. The patient has recently lost their job and their mother has recently been diagnosed with breast cancer: Losing a job and dealing with a loved one's serious illness can lead to significant stress, which can contribute to increased thyroid hormone production and worsen hyperthyroid symptoms.

C. The patient has recently changed their bedtime routine and now is getting 7-8 hours of sleep each night: Adequate rest (7-8 hours per night) is beneficial for overall health, including thyroid function. Consistent sleep routine can help improve symptoms of Graves' disease.

D. The patient has recently lost 10 lbs because they have modified their dietary intake and began walking 1-2 miles each day: Exercise and weight loss from healthy lifestyle changes (diet and walking) are generally beneficial and can improve symptoms of Graves' disease.

A. atherosclerotic vascular changes B. deficient protein reserves C. inadequacy of blood cell production D. high glucose levels

Correct Answer is D

Explanation

A. Atherosclerotic vascular changes: While atherosclerosis is common in diabetics, it primarily affects circulation and the cardiovascular system. Although impaired circulation can contribute to slower healing, it is not the primary cause of increased infection risk.

B. Deficient protein reserves: Although protein malnutrition can impair the immune response, diabetes does not necessarily lead to deficient protein reserves. The increased risk of infection is more closely related to high glucose levels rather than malnutrition.

C. Inadequacy of blood cell production: Inadequate blood cell production (such as anemia) is not a common result of diabetes. While diabetes can cause complications that affect circulatory health, the increased infection risk is primarily due to elevated glucose levels.

D. High glucose levels: High blood glucose levels can impair the function of white blood cells, which are essential for the body's ability to fight infection. Hyperglycemia also provides an ideal environment for the growth of bacteria and fungi, making diabetics more prone to infections, especially in areas like the skin and urinary tract.

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The nurse is providing discharge teaching to a client newly prescribed methimazole for hyperthyroidism. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While assessing a client with Graves' disease, the nurse notes that which of the following situations may contribute to making the symptoms worse:

Correct Answer is B

Explanation

The nurse is aware that diabetics are prone to infection, which can be attributed to:

Correct Answer is D

Explanation

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