When educating the client about the risk for hypothyroidism with propylthiouracil, what signs and symptoms will the nurse include? SELECT ALL THAT APPLY.
Weight gain
Diarrhea
Confusion
Bradycardia
Cold intolerance
Correct Answer : A,C,D,E
Choice A reason: This statement is true. The nurse should include weight gain as a sign of hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones. Thyroid hormones regulate the metabolism and energy expenditure of the body. When the thyroid hormones are low, the metabolism slows down and the body tends to store more fat.
Choice B reason: This statement is false. The nurse should not include diarrhea as a sign of hypothyroidism, as diarrhea is more common with hyperthyroidism, which is a condition where the thyroid gland produces too much thyroid hormones. When the thyroid hormones are high, the metabolism speeds up and the bowel movements become more frequent and loose.
Choice C reason: This statement is true. The nurse should include confusion as a sign of hypothyroidism, as confusion is caused by the lack of thyroid hormones in the brain. Thyroid hormones are essential for the normal function and development of the nervous system. When the thyroid hormones are low, the mental processes become sluggish and impaired.
Choice D reason: This statement is true. The nurse should include bradycardia as a sign of hypothyroidism, as bradycardia is a slow heart rate, usually below 60 beats per minute. Thyroid hormones affect the cardiac output and contractility of the heart. When the thyroid hormones are low, the heart rate and blood pressure decrease.
Choice E reason: This statement is true. The nurse should include cold intolerance as a sign of hypothyroidism, as cold intolerance is a reduced ability to maintain body temperature in cold environments. Thyroid hormones are involved in the thermoregulation of the body. When the thyroid hormones are low, the body produces less heat and shivers more.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: This statement is true. The nurse should include tremors as a sign of hypoglycemia, which is a condition where the blood glucose level is too low. Tremors are involuntary shaking or trembling of the body, caused by the release of adrenaline in response to low blood glucose.
Choice B reason: This statement is true. The nurse should include diaphoresis as a sign of hypoglycemia, which is excessive sweating, caused by the activation of the sympathetic nervous system in response to low blood glucose.
Choice C reason: This statement is true. The nurse should include confusion as a sign of hypoglycemia, which is impaired mental function, caused by the lack of glucose supply to the brain.
Choice D reason: This statement is false. The nurse should not include polyuria as a sign of hypoglycemia, which is increased urination, caused by the excess glucose in the urine. Polyuria is more common with hyperglycemia, which is a condition where the blood glucose level is too high.
Choice E reason: This statement is false. The nurse should not include polydipsia as a sign of hypoglycemia, which is increased thirst, caused by the dehydration from polyuria. Polydipsia is also more common with hyperglycemia, which is a condition where the blood glucose level is too high.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: This statement is true. Atenolol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on the beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents angina and heart attacks.
Choice B reason: This statement is true. Labetalol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on both the alpha and beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents hypertension and preeclampsia.
Choice C reason: This statement is true. Metoprolol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on the beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents angina, heart failure, and arrhythmias.
Choice D reason: This statement is false. Captopril is not a beta blocker, but an angiotensin-converting enzyme (ACE) inhibitor, which is a type of medication that blocks the conversion of angiotensin I to angiotensin II, a hormone that constricts the blood vessels and raises the blood pressure. This lowers the blood pressure and prevents hypertension, heart failure, and kidney damage.
Choice E reason: This statement is false. Ramipril is not a beta blocker, but an angiotensin-converting enzyme (ACE) inhibitor, which is a type of medication that blocks the conversion of angiotensin I to angiotensin II, a hormone that constricts the blood vessels and raises the blood pressure. This lowers the blood pressure and prevents hypertension, heart failure, and stroke.
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