You are caring for a client with hyperthyroidism that is taking propylthiouracil (PTU). The client reports that she misunderstood the instructions and took more doses than her prescribed dosage. The client also reported drowsiness, weight gain, edema, and cold intolerance. You suspect which of the following adverse effects of this drug?
Hypothyroidism
Thyrotoxicosis
Cushing's Syndrome
Addison's Disease
The Correct Answer is A
A. "I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time." – This is correct. Taking aluminum hydroxide and cimetidine simultaneously reduces the effectiveness of cimetidine by impairing its absorption. This statement indicates a need for further teaching.
B. "I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)." – This is incorrect. Taking aluminum hydroxide 1 hour before cimetidine allows enough time for the antacid's effects on stomach acidity to stabilize, reducing interference.
C. "I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)." – This is incorrect. Taking the antacid 2 hours before cimetidine provides sufficient time for proper absorption of the medication.
D. None of the above – This is incorrect because statement A reflects improper administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lipohypertrophy – This is correct. Lipohypertrophy is the thickening of subcutaneous fat that can occur from repeated insulin injections at the same site. This can interfere with insulin absorption, leading to inconsistent glucose control. Rotating injection sites prevents this complication and ensures even absorption of insulin.
B. Injection pain – This is incorrect. Injection pain is typically related to technique or needle size rather than the location. Rotating injection sites does not specifically address this issue.
C. Rapid absorption – This is incorrect. Rotating injection sites does not necessarily prevent rapid absorption but ensures more consistent absorption rates.
D. Intradermal injection – This is incorrect. Intradermal injection occurs when the needle is not inserted deep enough, unrelated to rotating injection sites.
Correct Answer is C
Explanation
A. 4 teaspoons – This is incorrect because 4 teaspoons would provide 400 mg (100 mg x 4 = 400 mg), but the correct dose per administration is 400 mg. However, this is not the correct calculation, as only 2 teaspoons are needed.
B. 2 teaspoons – This is correct. The prescribed dose is 400 mg, and since the medication concentration is 100 mg per teaspoon, 2 teaspoons (100 mg x 2 = 200 mg) is the correct dose for each administration.
C. 1 teaspoon – This is incorrect because 1 teaspoon would only provide 100 mg, and the prescribed dose is 400 mg. This is not enough to meet the prescribed dose.
D. 3 teaspoons – This is incorrect because 3 teaspoons would provide 300 mg (100 mg x 3 = 300 mg), which is not enough to meet the prescribed 400 mg dose.
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