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

Choice A reason: This statement is true. The nurse's best recommendation is to give glucagon IM, as glucagon is a hormone that raises blood glucose levels by stimulating the breakdown of glycogen in the liver. Glucagon can be given intramuscularly, subcutaneously, or intranasally, and does not require an IV line. The client has a very low blood glucose level, which can cause brain damage or death if not treated promptly.

Choice B reason: This statement is false. The nurse should not recommend dextrose 50% IV, as dextrose is a form of glucose that is given intravenously to raise blood glucose levels. However, dextrose requires an IV line, which the nurse is unable to get. The nurse should look for alternative routes of administration that do not depend on an IV line.

Choice C reason: This statement is false. The nurse should not recommend insulin glargine SQ, as insulin is a hormone that lowers blood glucose levels by facilitating the uptake of glucose in the cells. Insulin glargine is a long-acting insulin that is given subcutaneously once a day. The client does not need insulin, as their blood glucose level is already too low. Giving insulin would worsen the client's condition and cause severe hypoglycemia.

Choice D reason: This statement is false. The nurse should not recommend diet cola PO, as diet cola is a sugar-free beverage that does not raise blood glucose levels. Diet cola is not a suitable treatment for hypoglycemia, as it does not provide any glucose to the body. Moreover, the client is lethargic and unable to follow commands, which means they may have difficulty swallowing or may aspirate the liquid. The nurse should avoid giving anything by mouth to the client until they are alert and oriented.

Choice A reason: This statement is false. The nurse does not need to administer a laxative to the client before giving amiodarone, as amiodarone is not known to cause constipation. Amiodarone is an anti-arrhythmic medication that slows down the electrical impulses in the heart and restores a normal heart rhythm. It does not affect the bowel function or the gastrointestinal motility.

Choice B reason: This statement is false. The nurse does not need to place an NG tube to the client before giving amiodarone, as amiodarone is not known to cause gastric distension. An NG tube is a nasogastric tube that is inserted through the nose and into the stomach to remove air or fluid. It is used for clients who have bowel obstruction, vomiting, or bleeding. Amiodarone does not cause any of these conditions.

Choice C reason: This statement is false. The nurse does not need to call for respiratory to intubate the client before giving amiodarone, as amiodarone is not known to cause respiratory depression. Intubation is a procedure that involves inserting a tube through the mouth and into the trachea to assist breathing. It is used for clients who have difficulty breathing, low oxygen levels, or airway obstruction. Amiodarone does not cause any of these conditions.

Choice D reason: This statement is true. The nurse should attach the client to a cardiac monitor before giving amiodarone, as amiodarone is an anti-arrhythmic medication that can affect the heart rate, rhythm, and conduction. A cardiac monitor is a device that records the electrical activity of the heart and displays it on a screen. It is used to detect and treat any abnormal heartbeats, such as arrhythmias, bradycardia, or tachycardia. The nurse should monitor the client's cardiac status closely and report any changes to the prescriber.