thyroid and parathyroid agents

Graves' disease is the most common cause of hyperthyroidism.

true

The nurse should monitor a client for which effect of a drug interaction in a client taking thyroid hormones and a beta blocker?

tachycardia

A nurse is caring for a patient undergoing thyroid hormone replacement therapy. What should the nurse inform this patient regarding administration of the drug?

take the drug before breakfast

What question is important for the nurse to ask a client who is scheduled to receive a first dose of radioactive iodine for hyperthyroidism?

"Do you have trouble swallowing?"

A client is prescribed calcitriol. Which instruction would be most important for the nurse to include in the teaching plan?

"Have your calcium levels checked periodically."

The nurse is teaching a patient who is prescribed calcitriol about the drug. Which patient statement indicates that the teaching was successful?

"I need to have my calcium levels checked periodically."

While reviewing the medication history of a client receiving alendronate, the nurse notes that the client also takes a multivitamin. Which instruction would be most appropriate?

"Separate taking the two drugs by about a half hour."

The nurse is providing client teaching regarding the administration of levothyroxine (Synthroid). What is the nurse's priority teaching point?

"Take the medication with a full glass of water."

The nurse is caring for a 42-year-old client who recently had a total hysterectomy that involved removal of her ovaries. What statement by the client suggests that she understands her risk of developing osteoporosis?

"The surgery increased my risk of developing the disease."q

A pregnant client asks about the safety of taking thyroid hormone replacement drugs during her pregnancy. What is the nurse's best response?

"Thyroid hormones are pregnancy category A drugs and should be taken during pregnancy."

Methimazole (Tapazole) 30 mg /day orally divided in 3 doses is prescribed for a client diagnosed with Graves' disease. The pharmacy has 5 mg tablets available. How many tablets should the nurse administer with each dose?

2 tablets

A client diagnosed with hyperthyroidism is unsure about the need for the prescribed propranolol, stating, "I looked this up online and it's for high blood pressure, not thyroid problems." What statement concerning beta-adrenergic blockers should the nurse use as a basis for the response?

It will block stimulation of the sympathetic nervous system

During a general health assessment, a client indicates taking thyroid medication to increase weight loss. What statement should be the basis of the nurse's response?

taking excessive or unnecessary thyroid medication may produce serious or life-threatening manifestations off toxicity

The nurse should assess for an enlarged thyroid by palpating which area?

anterior neck

A client diagnosed with TSH suppression has been prescribed levothyroxine sodium (T4). The nurse caring for the client should monitor for which adverse reaction to levothyroxine sodium (T4)?

diarrhea

More patients experience hyperthyroidism than hypothyroidism.

false

The nurse is caring for a client who is receiving levothyroxine and educates the client to what adverse effects of this medication? (Select all that apply.)

fever; intolerance to heat; insomnia

Which would a nurse expect to assess in a client experiencing hyperthyroidism?

flushed, warm skin

What assessment should the nurse perform prior to administration of a scheduled dose of levothyroxine?

heart rate

The nurse is preparing to administer levothyroxine to a client. Which assessment finding would cause the nurse to hold the medication?

heart rate of 110 beats/minute

What is the best position for the client after the administration of a bisphosphonate medication?

high fowler's (client should remain upright 30 minutes after taking)

A middle-aged client is proactive with personal health maintenance and reports taking 2400 International Units of vitamin D daily, stating, "More is better when it comes to vitamins." The nurse should provide health teaching to the client associated with a risk for which disorder?

hypercalcemia

What is a common cause of primary hypothyroidism? Select all that apply.

hyperthyroidism medication therapy; Hashimoto's thyroiditis; radiation to the neck

The pharmacology instructor is providing education regarding propylthiouracil to the nursing students. What would the instructor identify as the primary mode of action for this medication?

inhibition of production of thyroid hormone

When describing thyroid function, the nurse would emphasize the need for intake of:

iodine

A client is diagnosed with liver disease. How would this affect the metabolism of the drugs used to treat the client's hypothyroidism?

it would be prolonged

What is a likely outcome of consistently low calcium levels? Select all that apply.

laryngospasms; osteopenia; facial muscle twitching; numbness of the fingers and/or toes

A nurse is teaching a client about a prescribed thyroid supplement and describes a drug that is relatively inexpensive, requires once-a-day dosing, and has a more uniform potency than do other thyroid hormone replacement drugs. Which drug is the nurse describing?

levothyroxine

An older adult has been prescribed a thyroid hormone replacement medication. The nurse should first clarify which prescription?

levothyroxine (synthroid) 150 mcg orally once per day

Based on the nurse's knowledge about thyroid hormone supplements, the nurse administers levothyroxine cautiously to a client who has recently had which condition or disorder?

myocardial infarction

A client is brought to the emergency department after taking an overdose of levothyroxine. When assessing this client, what adverse effects would the nurse expect to find?

nervousness and tachycardia

A client is to receive teriparatide. The nurse would instruct the client in:

subcutaneous injuction

A client is receiving a thyroid hormone to treat hypothyroidism. Which would indicate to the nurse that the client needs a reduced dosage of the drug?

tachycardia

A client admitted to the hospital with hyperthyroidism treated with propylthiouracil suddenly develops a skin rash. Which action would the nurse implement first?

notify the primary health care provider

The nurse should teach clients who are taking thyroid hormones to take the medication:

on an empty stomach

A client diagnosed with excessive parathyroid production is prone to develop:

osteopenia

The nurse is discussing the use of corticosteroids with a group of nursing students and tells that students that both men and women who take corticosteroids are at risk for what side effect?

osteoporosis

A nurse educating a client and their family about levothyroxine (Synthroid) for the treatment of hypothyroidism should advise the client to contact the health care provider if which occur? (Select all that apply.)

palpitation; chest pain; significant weight changes; excessive diaphoresis

A hospital client's current medication administration record specifies oral administration of propylthiouracil (PTU) every 8 hours. What sign or symptom may have originally prompted the care provider to prescribe this drug?

persistent tachycardia

The nurse is assisting a client who has just begun medication therapy for hypothyroidism. Which nursing assessment is most important in this client?

vital signs (concern of cardiac difficulties)

The nurse should advise a client who is taking levothyroxine for the first time that resolution of hypothyroid symptoms may not occur for how long after therapy is started?

weeks

A home care nurse is caring for a 70-year-old female client who has been diagnosed with osteoporosis. When developing a plan of care for this client, the nurse should include measures to prevent what complication of the disease?

bone fracture

A patient has hypocalcemia secondary to hypoparathyroidism. Which would the nurse expect to be ordered?

calcitrol

A client's low ionized calcium levels have necessitated an infusion of an IV calcium preparation. During the administration of this medication, the nurse should prioritize what assessment?

cardiac monitoring

Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which assessment finding should prompt the nurse to withhold a scheduled dose of levothyroxine?

the resident's apical heart rate is 112 beats/minute with a regular rhythm