The nurse is reviewing data of a client receiving propylthiouracil (PTU). Which information indicates to the nurse that the client may be experiencing a side effect of this medication?
Neutropenia
Hyperglycemia
Polyuria
Muscle cramps
The Correct Answer is A
Choice A reason: Neutropenia, a decrease in neutrophils, is a known side effect of propylthiouracil (PTU) due to its impact on bone marrow and white blood cell production.
Choice B reason: Hyperglycemia is not a typical side effect of PTU; it is more commonly associated with medications affecting blood sugar levels.
Choice C reason: Polyuria, or excessive urination, is not a common side effect of PTU and is more often related to conditions affecting kidney function or blood glucose levels.
Choice D reason: Muscle cramps are not a direct side effect of PTU; they can be associated with various conditions, including electrolyte imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The statement about being able to sit down to put on pants and shoes indicates that the client is implementing safety measures to prevent falls, which is a positive outcome of effective teaching.
Choice B reason: Exercising daily and resting when tired is an appropriate strategy for managing Parkinson's disease symptoms, suggesting that the client has understood the education provided.
Choice C reason: The statement about not needing a walker could indicate a lack of understanding of the importance of mobility aids in preventing falls, which is a concern for clients with Parkinson's disease.
Choice D reason: Removing loose rugs from the house is a preventive measure to reduce fall risk, indicating that the client and family have understood and applied the education.
Correct Answer is D
Explanation
Choice A reason: A temperature of 99.6°F is a mild fever and not specifically indicative of the late phase of septic shock.
Choice B reason: Skin that is flushed with a capillary refill of less than 3 seconds does not suggest the late phase of septic shock, which would typically present with poor perfusion.
Choice C reason: A renal output of 45 mL/hr is within the normal range (0.5-1 mL/kg/hr for adults) and does not necessarily indicate the late phase of septic shock.
Choice D reason: Arrhythmias can be a sign of the late phase of septic shock as they indicate cardiac dysfunction, which is a result of decreased tissue perfusion and can lead to multiple organ failure.
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