Nursing Application: Hormonal Regulation Drugs

Which assessment criteria are most important to monitor for the patient taking a hormone regulation medication? Select all that apply.

*A complete medication history *Monitoring the patient's serum hormone levels *Monitoring the patient's vital signs *Monitoring the patient's weight

The nurse caring for a client on propylthiouracil should take which actions when administering the drug? Select all that apply.

*Administer the medication to the patient with food *Ensure that the patient's menu does not include iodized salt *Administer the medication at the same time each day

What is the most significant side effect of synthetic thyroid replacement medications?

Cardiac dysrhythmia

The nurse caring for a client on levothyroxine should take which factors into consideration when administering the drug? Select all that apply.

*Monitor for symptoms of toxicity, such as heart palpitations and excitability *The medication should be given in the morning

The nurse should monitor for which side effects when administering thyroid replacement medications? Select all that apply.

*Palpitations *Cardiac rhythm *Heat intolerance

While educating a client about their hormone replacement drug, the nurse includes which statements about the mechanism of action? Select all that apply.

*Replacement of deficient hormone levels *Antagonize the action and natural effects of the body's pituitary hormones *Diagnosis of hormonal dysfunction *Mimic the action and natural effects of the body's pituitary hormones

For a client receiving an antithyroid medication, which thyroid hormone levels would high. Select all that apply.

*T3 *TSH

The nurse caring for a client on octreotide should be aware of which factors when administering the drug? Select all that apply.

*This medication is a growth hormone antagonist *This medication can cause changes in blood glucose levels *This medication stimulates various anabolic (tissue-building) processes *Monitor for abdominal pain as this medication can impair gallbladder function

The nurse caring for a client on cosyntropin should share which information when administering the drug? Select all that apply.

*This medication is an adrenocorticotropic mimicking hormone *Cortisol has anti-inflammatory effects

You are the nurse caring for a patient experiencing severe hyperthyroidism, a thyroid storm. You know that a thyroid storm is a severe condition characterized by dangerously high heart rate, blood pressure and body temperature. You also know that this patient's physician will choose which of the following possible treatments for hyperthyroidism? (Select all that apply.)

*Total thyroidectomy followed by permanent thyroid replacement medication such as levothyroxine *Antithyroid medication such as radioactive iodine *Antithyroid medication such as propylthiouracil *Beta blockers for symptom management

The nurse caring for a client on vasopressin should be aware of which factors when administering the drug? Select all that apply.

*Vasopressin concentrates urine and therefore treats polyuria *Side effects include increased blood pressure, nasal congestion, and sweating *Vasopressin mimics antidiuretic hormone (ADH)

You are the nurse caring for a patient with primary hypothyroidism characterized the formation of a goiter. You know that this patient will experience the following symptoms:

1. Cold intolerance 2. Depression 3. Low thyroid hormone levels 4. Decreased metabolism 5. Unintended weight gain

You are the nurse caring for a patient in a thyroid storm. She has been prescribed a beta blocker. Your patient asks you to explain to her why she needs a beta blocker. Your response to her is:

Beta blockers treat the cardiovascular-related symptoms associated with thyroid storm such as heart palpitations and high blood pressure

You are the nurse admitting a pregnant diabetic patient who has brought with her the following medication list from home. This list includes a thyroid replacement medication, levothyroxine. Based on your knowledge of this medication and its drug class, match the medication to the safety consideration which this combination of medication presents.

Levothyroxine -Treatment for hypothyroidism should continue during pregnancy ​An anticoagulant medication -When taking thyroid replacement medications, the activity of anticoagulants may be enhanced. Monitor the patient closely for symptoms of increased bleeding. A hypoglycemic medication -When taking thyroid replacement mediations, patients with diabetes may need increased dosages of hypoglycemic medications. Monitor blood glucose levels.

You are the nurse admitting a pregnant diabetic patient who has brought with her the following medication list from home. This list includes a thyroid replacement medication, levothyroxine. Based on your knowledge of this medication and its drug class, match the medication to the safety consideration which this combination of medication presents.

Propylthiouracil -Antithyroid & Thyroid Levothyroxine -Synthetic hormone replacement & thyroid Octreotide -Growth hormone antagonist & Anterior Cosyntropin -Adrenocorticotropic hormone mimicking & Anterior Somatropin -Growth hormone mimicking & Anterior Vasopressin -Antidiuretic hormone mimicking & Posterior Desmopressin -Antidiuretic hormone mimicking & Posterior

You are the nurse admitting a pregnant diabetic patient. She is taking levothyroxine, a thyroid replacement medication. Her doctor ordered the following lab levels to be drawn. Based on your knowledge of this medication and its drug class, choose why each item is a safety consideration with levothyroxine.

Thyroid hormone levels (T4, T3, TSH) -Fetal growth may be retarded if maternal hypothyroidism is untreated during pregnancy. Monitor serum thyroid levels to ensure correct dosing. Serum digoxin level -Levothyroxine may decrease serum digoxin levels...

The client may experience which side effects of this medication (propylthiouracil)?

Weight gain

The nurse is caring for a client who has been diagnosed with Graves' disease and started on an antithyroid medication. Which medication is most likely to be prescribed?

propylthiouracil