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. Instruct her to take an antacid: Difficulty swallowing could be a sign of a more serious problem, such as esophageal irritationor a reaction to treatment. Taking an antacid may mask underlying issues, and it is not appropriate without further assessment.

B. Notify the healthcare provider immediately: Difficulty swallowing after treatment may indicate a serious side effector complication, such as esophageal damage, allergic reaction, or a swallowing disorder. Immediate evaluation by the healthcare provider is necessary to determine the cause and prevent further complications.

C. Reassure her that this is expected: Difficulty swallowing after treatment should not be considered normal without investigation. It may indicate an issue that needs prompt attention to prevent further harm or discomfort.

D. Encourage warm fluids: Encouraging fluids could be helpful in some cases of mild throat irritation, but it is not the first appropriate action. The nurse should prioritize notifying the healthcare provider to evaluate the cause of difficulty swallowing.

A. "Iodized salt helps prevent the development of goiters in the United States." B. "It is because of the screening techniques used in the United States." C. "The medications available in the United States decrease goiters." D. "It is a generic predisposition rare in North Americans."

Correct Answer is A

Explanation

A. "Iodized salt helps prevent the development of goiters in the United States.": Iodine deficiencyis a primary cause of goiter, and in the United States, the widespread use of iodized salthas significantly reduced the incidence of goiters.

B. "It is because of the screening techniques used in the United States.": While screening for thyroid disorders is important, it is not the primary reason for the lower incidence of goiters. The main reason is the availability of iodinethrough iodized salt.

C. "The medications available in the United States decrease goiters.": Medications like thyroid hormone replacements can help manage thyroid disorders, but they do not directly prevent goiters. The reduction in goiters is mainly due to dietary iodine availability.

D. "It is a genetic predisposition rare in North Americans.": While genetic factors can play a role in thyroid disorders, iodine deficiencyis the primary cause of goiters worldwide. Iodine deficiencyis less common in the United States due to iodized salt, not genetic predisposition.

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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?

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Naxlex Comprehensive Predictor Exams

Which action should the nurse take if Sarah reports difficulty swallowing after treatment?

Correct Answer is B

Explanation

The nurse is providing an in-service on thyroid disorders. One of the attendees asks the nurse. "Why don't the people in the United States get goiters as often? Which statement by the nurse is the best response?

Correct Answer is A

Explanation

When a patient who is 8 hours postoperative from a total thyroidectomy shows a positive Chvostek's sign and complains of muscle cramps, the nurse interprets these assessments as indicative of:

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