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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: This statement is false. The nurse does not need to assess the client's sulfa allergy prior to giving nifedipine, as nifedipine is not a sulfa drug. Sulfa drugs are a group of antibiotics that contain the sulfonamide group and can cause allergic reactions in some people. Nifedipine is a calcium channel blocker that does not contain sulfonamide.

Choice B reason: This statement is false. The nurse does not need to assess the client's hemoglobin prior to giving nifedipine, as nifedipine does not affect the hemoglobin level. Hemoglobin is a protein in the red blood cells that carries oxygen to the tissues. Nifedipine is a calcium channel blocker that relaxes the blood vessels and improves the blood flow to the heart.

Choice C reason: This statement is false. The nurse does not need to assess the client's PTT prior to giving nifedipine, as nifedipine does not affect the blood clotting time. PTT stands for partial thromboplastin time, which is a test that measures how long it takes for the blood to clot. Nifedipine is a calcium channel blocker that does not interfere with the coagulation cascade.

Choice D reason: This statement is true. The nurse should assess the client's blood pressure prior to giving nifedipine, as nifedipine is a medication that lowers the blood pressure. The nurse should check the blood pressure and compare it with the baseline and the target values. The nurse should hold the nifedipine and notify the prescriber if the blood pressure is too low or too high. The nurse should also monitor the client's blood pressure after giving the nifedipine and report any changes.

A. Atenolol B. Labetalol C. Metoprolol D. Captopril E. Ramipril

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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When educating the client about the risk for hypothyroidism with propylthiouracil, what signs and symptoms will the nurse include? SELECT ALL THAT APPLY.

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Naxlex Comprehensive Predictor Exams

A client has been prescribed nifedipine for angina. What is the priority assessment for the nurse to make prior to giving this medication?

Correct Answer is D

Explanation

Which of the following would the nurse recognize as beta blockers? SELECT ALL THAT APPLY.

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

Explanation

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