week 6 pharm prep u ch 40

Question 1: (see full question) The nurse is preparing to administer levothyroxine to a client. Which assessment finding would cause the nurse to hold the medication? You selected: Heart rate of 110 beats per minute Correct Explanation: Levothyroxine should be held if the client's heart rate is over 100 beats per minute. Question 2: (see full question) A patient is diagnosed with a simple goiter. The patient asks you what causes a goiter to occur. What would be your best response? You selected: A goiter is the result of too much TSH. Correct Explanation: Goiter (enlargement of the thyroid gland) is an effect of hyperthyroidism, which occurs when the thyroid is overstimulated by TSH. This can happen if the thyroid gland does not mak ... (more) Question 3: (see full question) The nurse is assisting a client who has just begun medication therapy for hypothyroidism. Which nursing assessment is most important in this client? You selected: Vision Incorrect Correct response: Vital signs Explanation: Vital signs would be the most important assessment because cardiac difficulties may occur early in treatment for hypothyroidism. Question 4: (see full question) Which agent would a nurse expect to administer to a client with hypothyroidism? You selected: Levothyroxine Correct Explanation: Levothyroxine would be used to treat a deficiency of thyroid hormone or hypothyroidism. Methimazole and propylthiouracil are antithyroid agents used to treat hyperthyroidism. ... (more) Question 5: (see full question) 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 of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? You selected: The resident's apical heart rate is 112 beats/minute with a regular rhythm Correct Explanation: If the pulse rate is greater than 100 bpm, it is necessary to withhold a levothyroxine dose in an older adult. Anorexia, recent vaccination, and recent falls do not necessary indic ... (more) Question 6: (see full question) While studying thyroid replacement therapy in pharmacology class, the nursing students learn that hypothyroidism is treated with what drug? You selected: Levothyroxine Correct Explanation: Levothyroxine (Synthroid, Levoxyl, Levothroid), a synthetic salt of T4, is the most frequently used replacement hormone because of its predictable bioavailability and reliability. ... (more) Question 7: (see full question) The pharmacology instructor is describing the antithyroid drug propylthiouracil to the nursing students. What would the instructor identify as the primary mode of action for propylthiouracil? You selected: Inhibition of production of thyroid hormone Correct Explanation: Propylthiouracil acts by inhibiting production of thyroid hormones and peripheral conversion of thyroxine (T4) to the more active triiodothyronine (T3). Question 8: (see full question) The nurse cares for a client who was admitted for multiple bone fractures resulting from a fall. The client has a comorbidity of hypothyroidism. Which diet is the most appropriate for this client? You selected: High calorie, high fiber Incorrect Correct response: Low calorie, high fiber Explanation: Hypothyroidism slows the metabolism and decreases gastrointestinal secretions and motility. Hypothyroid clinets, therefore, should be encouraged to eat a low-calorie, high-fiber di ... (more) Question 9: (see full question) A nurse should be cautious not to administer levothyroxine (Synthroid) to a patient who has recently had which of the following? You selected: Myocardial infarction Correct Explanation: A nurse should be cautious not to administer levothyroxine (Synthroid) to a patient who has recently had myocardial Question 10: (see full question) What question is important for the nurse to ask a client who is scheduled to receive a first dose of radioactive iodine for hyperthyroidism? You selected: "Have you discussed your cancer treatment plan with your provider?" Incorrect Correct response: "Do you have any trouble swallowing?" Explanation: Radioactive iodine is given orally, either as a solution or in a gelatin capsule. Since it is not given intravenously, any questions regarding needles or veins is not necessary. Ra ... (more) Question 11: (see full question) A patient who has taken an overdose of levothyroxine (Synthroid) is brought to the Emergency Department. In assessing this patient, what side effects would the nurse expect to find? You selected: Nervousness, tachycardia, tremors Correct Explanation: Excess thyroid hormone will produce symptoms similar to hyperthyroidism, which are nervousness, tachycardia, and tremors. It does not produce somnolence, bradycardia, paresthesia, ... (more) Question 12: (see full question) A client presents at the clinic reporting weight loss despite an increased appetite. For which condition should this client be assessed? You selected: Hyperthyroidism Correct Explanation: Hyperthyroidism is manifested by increased appetite and metabolism. Without treatment, it may be difficult for hyperthyroid individuals to consume enough calories to prevent weight ... (more) Question 13: (see full question) Which hormone regulates the production and release of thyroid hormone? You selected: Thyrotropin-releasing hormone (TRH) Incorrect Correct response: Thyroid-stimulating hormone (TSH) Explanation: The anterior pituitary hormone called thyroid-stimulating hormone (TSH) regulates thyroid hormone production and release. The secretion of TSH is regulated by thyrotropin-releasing ... (more) Question 14: (see full question) All of the following are specific physiological effects of thyroid hormones, EXCEPT: You selected: Increased rate of cellular metabolism and oxygen consumption. Incorrect Correct response: Increased pituitary secretion of TSH. Explanation: Some specific physiologic effects of thyroid hormones include increased rate of cellular metabolism and oxygen consumption, with a resultant increase in heat production; increased ... (more) Question 15: (see full question) A child is diagnosed with hypothyroidism. The nurse knows that the drug of choice for this child will most likely be what? You selected: Levothyroxine (Synthroid) Correct Explanation: Levothyroxine is the drug of choice in children because of it predictable bioavailability and reliability. Liothyronine and iotrix tend to have more adverse effects, and methimazol ... (more) Question 16: (see full question) The nurse should teach clients who are taking thyroid hormones to do which of the following? You selected: Take the medication on an empty stomach. Correct Explanation: Thyroid hormones are administered once per day, early in the morning and preferably before breakfast. An empty stomach increases the absorption of the drug. Question 17: (see full question) Which of the following would a nurse expect to assess in a client experiencing hyperthyroidism? You selected: Bradycardia Incorrect Correct response: Flushed, warm skin Explanation: Clients with hyperthyroidism typically exhibit flushed, warm skin; hyperactive deep tendon reflexes; tachycardia; and intolerance to heat. Question 18: (see full question) The most common cause of subclinical hyperthyroidism is: You selected: Excess thyroid hormone therapy. Correct Explanation: Clients should be monitored closely for hypothyroidism while taking antithyroid drugs, which usually develops within a year after receiving treatment for hyperthyroidism. The most ... (more) Question 19: (see full question) You are discharging a 32-year-old patient with newly prescribed thyroid drugs. What would you teach the patient to report to their physician? You selected: All of the above Correct Explanation: Report chest pain, heart palpitations, nervousness, or insomnia. These adverse effects result from excessive stimulation and may indicate that drug dosage or intake of other stimul ... (more) Question 20: (see full question) The treatment protocol for a client with hyperthyroidism includes antithyroid medication and propranolol. The purpose of propranolol is to do which of the following? You selected: Decrease tachycardia and palpitations Correct Explanation: Propranolol is an adrenergic blocking agent. It is prescribed as adjunctive treatment for several weeks during antithyroid treatment, until the therapeutic effects of the antithyro ... (more)

Question 1: (see full question) Knowing that thyroid hormones are principally concerned with the increase in metabolic rate of tissues, which of the following symptoms would a nurse observe in a client with uncontrolled hypothyroidism? Select all that apply: You selected: • Sleepiness • Bradycardia • Weight gain Correct Explanation: The signs and symptoms of hypothyroidism include: decreased metabolism, cold intolerance, low body temperature, weight gain, bradycardia, hypotension, lethargy, sleepiness, pale, c ... (more) Question 2: (see full question) A patient is receiving a thyroid hormone to treat hypothyroidism. Which of the following would indicate to the nurse that the patient needs a reduced dosage of the drug? You selected: Tachycardia Correct Explanation: Tachycardia suggests hyperthyroidism due to excessive thyroid hormone; this would require a reduction in dosage. Slowed reflexes would suggest hypothyroidism and drug ineffectivene ... (more) Question 3: (see full question) Graves' disease is the most common cause of hyperthyroidism. You selected: False Incorrect Correct response: True Explanation: Graves' disease, a poorly understood condition that is thought to be an autoimmune problem, is the most common cause of hyperthyroidism. Question 4: (see full question) The nurse is assessing a patient receiving strong iodide solution. Which of the following would alert the nurse to the possible development of iodism? Select all that apply. You selected: • Constipation • Metallic taste • Salivary gland swelling Incorrect Correct response: • Metallic taste • Throat burning • Sore teeth Explanation: Signs of iodism include a metallic taste, burning mouth and throat, sore teeth and gums, head cold symptoms, stomach upset, and diarrhea. Salivary gland swelling is an adverse effe ... (more) Question 5: (see full question) You are instructing the patient on a drug that has been prescribed for hyperthyroidism. You will encourage the patient to have a complete blood count and differential monitored regularly. According to the patient instruction, what drug has been prescribed for the patient? You selected: Propylthiouracil (PTU) Incorrect Correct response: Methimazole (Tapazole) Explanation: Hematological adverse effects are more common with methimazole, so a complete blood count and differential should be done regularly in patients taking this drug. Propylthiouracil ... (more) Question 6: (see full question) A client presents at the clinic with weight loss despite an increased appetite. The nurse knows this client should be assessed for: You selected: hyperthyroidism. Correct Explanation: Hyperthyroidism is manifested by increased metabolism and energy usage. It is not manifested by chronic thyroiditis, hyperglycemia, or hypothyroidism. Question 7: (see full question) Methimazole (Tapazole) 30 mg /day orally divided in 3 doses is prescribed for a client diagnosed with Graves' disease. 5 mg tablets are available. How many tablets should the nurse administer with each dose? You selected: 2 Correct Explanation: 30 mg/ day divided in 3 doses = 10 mg/ dose; 10 mg / 5 mg tablets = 2 tablets per dose Question 8: (see full question) The pharmacology instructor is talking about the drug propylthiouracil (PTU). What would the instructor cite as the primary mode of action for propylthiouracil (PTU)? You selected: To inhibit production of thyroid hormone Correct Explanation: PTU acts by inhibiting production of thyroid hormones and peripheral conversion of T4 to the more active T3. Therefore Options A, C, and D are incorrect. Question 9: (see full question) After 48 hours of thyroid hormone replacement therapy, a client reports still having no appetite. Which is the nurse's best action? You selected: Document the client's report and suggest increasing the dose of medication. Incorrect Correct response: Reassure the client that more time is needed to see results. Explanation: The full effects of thyroid hormone replacement therapy may not be apparent for several weeks or more, but early effects may be apparent in as little as 48 hours. The health care p ... (more) Question 10: (see full question) A client is diagnosed with liver disease. How would this affect the metabolism of the drugs used to treat the client's hypothyroidism? You selected: It would be prolonged. Correct Explanation: Drug metabolism in the liver is delayed in clients with hypothyroidism and liver disease, so most drugs given to these clients have a prolonged effect. Question 11: (see full question) A nurse educating a client and their family about levothyroxine (Synthroid) for the treatment of hypothyroidism should include which of the following information? Select all that apply: You selected: • Therapy is lifelong. • Therapy needs to be evaluate every week initially. • Weigh weekly and report significant changes to the physician. Incorrect Correct response: • Therapy is lifelong. • Weigh weekly and report significant changes to the physician. Explanation: A nurse educating a client and their family about levothyroxine (Synthroid) for the treatment of hypothyroidism should include the following: therapy is lifelong, take the dose in ... (more) Question 12: (see full question) A patient is undergoing sodium iodine drug therapy for the treatment of hyperthyroidism. Which of the following adverse reactions to the drug should the nurse monitor for in the patient? You selected: Agranulocytosis Incorrect Correct response: Bone marrow depression Explanation: The nurse should monitor for bone marrow depression, nausea, vomiting, tachycardia, itching, rash, and hives as the adverse reactions to the sodium iodine drug in the patient. Loss ... (more) Question 13: (see full question) A patient is brought to the emergency department after taking an overdose of levothyroxine. When assessing this patient, what adverse effects would the nurse expect to find? You selected: Nervousness and tachycardia Correct Explanation: Excessive doses of levothyroxine, a thyroid drug, can cause the same signs and symptoms that occur with hyperthyroidism. These include nervousness and tachycardia. Question 14: (see full question) A client is diagnosed with both hypothyroidism and adrenal insufficiency. If the adrenal insufficiency is not treated first, what may occur with the administration of thyroid hormone? You selected: Acute adrenocortical insufficiency Correct Explanation: When hypothyroidism and adrenal insufficiency coexist, the adrenal insufficiency should be treated with a corticosteroid drug before starting thyroid replacement. Thyroid hor ... (more) Question 15: (see full question) More patients experience hyperthyroidism than hypothyroidism. You selected: False Correct Explanation: Hypothyroidism is the most common type of thyroid dysfunction. Question 16: (see full question) A nurse is caring for a patient undergoing thyroid hormone replacement therapy. Which of the following should the nurse inform this patient regarding administration of the drug? You selected: Take the drug before breakfast. Correct Explanation: The nurse should inform the patient undergoing thyroid hormone replacement therapy to take the drug in the morning, preferably before breakfast. The nurse should not ask the patien ... (more) Question 17: (see full question) An older adult has been prescribed a thyroid hormone replacement medication. The nurse should first clarify which prescription? You selected: Armour 60 mg orally once per day Incorrect Correct response: Levothyroxine (Synthroid) 150 mcg orally once per day Explanation: Synthroid is prescribed 100-125 mcg/day orally. A dose of 150 mcg orally once per day is outside of the normally prescribed range. The other medication doses are within recommended ... (more) Question 18: (see full question) A pregnant client asks about the safety of taking thyroid hormone replacement drugs during her pregnancy. What is the nurse's best response? You selected: "Thyroid hormones are pregnancy category A drugs and should be taken during pregnancy." Correct Explanation: Thyroid hormones are classified as pregnancy category A and should be continued by hypothyroid women during pregnancy. Thyroid hormones are not used as treatment for obesity or inf ... (more) Question 19: (see full question) Thyroid hormones can be measured as protein-bound iodine. You selected: True Correct Explanation: When thyroid hormone is needed in the body, the stored thyroid hormone molecule is absorbed into the thyroid cells, where the T3 and T4 are broken off and released into circulation ... (more) Question 20: (see full question) When describing thyroid function, the nurse would emphasize the need for intake of which of the following? You selected: Iodine Correct Explanation: Iodine intake is necessary for the production of thyroid hormones.

Question 1: (see full question) A nurse is caring for a patient with subacute lymphocytic thyroiditis. The physician prescribes thyroid hormones to the patient. From which of the following signs during ongoing assessment should the nurse conclude that the patient is responding to the therapy? You selected: Increased appetite Correct Explanation: The nurse should observe for signs of therapeutic responses, which include increased appetite, weight loss, mild diuresis, an increased pulse rate, and decreased puffiness of the f ... (more) Question 2: (see full question) A client with atrial fibrillation controlled on which of the following drugs must be monitored closely by the nurse for worsening atrial fibrillation if levothyroxine (Synthroid) is initiated to treat hypothyroidism? Select all that apply: You selected: • Warfarin (Coumadin) • Metoprolol (Toprol) Incorrect Correct response: • Digoxin (Lanoxin) • Metoprolol (Toprol) Explanation: A client with atrial fibrillation controlled on digoxin (Lanoxin) and metoprolol (Toprol) must be monitored closely by the nurse for worsening atrial fibrillation if levothyroxine ... (more) Question 3: (see full question) A client taking methimazole develops a rash. What is the nurse's best recommendation to treat the rash? You selected: Use an antibacterial soap when bathing. Incorrect Correct response: Apply a soothing cream until the rash subsides. Explanation: If a client experiences a rash while taking methimazole, either soothing creams or lubricants may be applied; soap is used sparingly, if at all, until the rash subsides. Drug dosin ... (more) Question 4: (see full question) Which of the following would a nurse expect to assess in a client experiencing hyperthyroidism? You selected: Intolerance to cold Incorrect Correct response: Flushed, warm skin Explanation: Clients with hyperthyroidism typically exhibit flushed, warm skin; hyperactive deep tendon reflexes; tachycardia; and intolerance to heat. Question 5: (see full question) Levothyroxine is a synthetic form of T4. What must occur to convert this T4 to T3? You selected: Thyroid-binding Incorrect Correct response: Deiodination Explanation: Much of the levothyroxine is converted to liothyronine in peripheral tissues. This conversion (i.e., removal of an iodine atom, called deiodination) occurs at several locations, in ... (more) Question 6: (see full question) A client with hyperthyroidism resulting from Graves' disease is admitted to the unit. Which is the recommended daily fluid intake for this client? You selected: 3000-4000 mL Correct Explanation: Clients with hyperthyroidism, such as that caused by Graves' disease, need large amounts of fluids (3000-4000 mL/day) unless contraindicated by cardiac or renal disease. The fluid ... (more) Question 7: (see full question) A client asks the nurse if she's taking a standard dose of thyroid hormone medication. What is the nurse's best response? You selected: Dosing is based solely on TSH levels. Incorrect Correct response: The dose is based on your relief of symptoms from hypothyroidism. Explanation: Treatment of hypothyroidism is based on individualized doses of the hormone to treat symptoms, not by weight or a standard dosing algorithm. TSH levels are used to assist the presc ... (more) Question 8: (see full question) A nurse completing a pre-administration assessment on a 70-year-old client prior to the administration of levothyroxine (Synthroid) may confuse which of the following symptoms of hypothyroidism with which symptoms associated with the aging process? Select all that apply: You selected: • Cold intolerance • Decreased visual acuity • Confusion • Unsteady gait Incorrect Correct response: • Confusion • Unsteady gait • Cold intolerance Explanation: The symptoms of hypothyroidism may be confused with symptoms associated with aging, such as depression, cold intolerance, weight gain, confusion, or unsteady gait. Question 9: (see full question) A primary healthcare provider has prescribed levothyroxine to a patient with hypothyroidism. Which of the following should the nurse inform the patient to promote an optimal response to the drug therapy? You selected: Administer the drug early in the morning before breakfast Correct Explanation: The nurse should inform the patient to administer the drug early in the morning before breakfast to promote an optimal response to the drug therapy since an empty stomach increases ... (more) Question 10: (see full question) A female client's diagnoses include hyperthyroidism, congestive heart failure, and type 2 diabetes mellitus. What effect will the treatment of hyperthyroidism have on her routine medications? You selected: Metabolism will be slower than normal, and the dose will be decreased. Incorrect Correct response: Metabolism will be faster than normal, and the dose will be increased. Explanation: Treatment of hyperthyroidism changes the rate of body metabolism, including the rate of metabolism of many drugs. In the hyperthyroid state, drug metabolism may be very rapid, ... (more) Question 11: (see full question) A client with diabetes has started thyroid hormone replacement therapy. The nurse should monitor closely for which effects? You selected: Oliguria Incorrect Correct response: Hot, dry skin Explanation: The client with diabetes who begins thyroid replacement hormones should be monitored closely for signs of hyperglycemia: increased thirst, increased hunger, polyuria (increased uri ... (more) Question 12: (see full question) The nurse is caring for a client with severe hypothyroidism and knows to contact the physician if which symptoms of myxedema coma occur? (Select all that apply.) You selected: • Decreased level of consciousness • Decreased respirations Incorrect Correct response: • Decreased level of consciousness • Decreased respirations • Decreased blood pressure Explanation: Symptoms of myxedema coma include coma, hypothermia, cardiovascular collapse, hypoventilation, hypoglycemia, and lactic acidosis. Question 13: (see full question) Which of the following is true in regard to the thyroid hormone replacement drug levothyroxine (Synthroid)? Select all that apply: You selected: • Levothryroxine (Synthroid) has a more uniform potency than other thyroid hormone replacement drugs. • Levothryroxine (Synthroid) requires less frequent lab monitoring. Incorrect Correct response: • Levothryroxine (Synthroid) has a more uniform potency than other thyroid hormone replacement drugs. • Levothryroxine (Synthroid) is relatively inexpensive. Explanation: The following are true of the thyroid replacement drug levothyroxine (Synthroid): it is relatively inexpensive, requires once daily dosing, and has a more uniform potency than do o ... (more) Question 14: (see full question) A nurse is caring for a patient suffering from a severe form of hyperthyroidism called thyrotoxicosis or thyroid storm. Which of the following should the nurse observe in the patient as a characteristic of thyroid storm? You selected: Memory impairment Incorrect Correct response: Altered mental status Explanation: A severe form of hyperthyroidism called thyrotoxicosis or thyroid storm is characterized by high fever, extreme tachycardia, and altered mental status. The nurse need not observe m ... (more) Question 15: (see full question) The nurse educates a client newly diagnosed with hypothyroidism that replacement therapy usually continues until the client is euthyroid for how long? You selected: 3 to 6 months Incorrect Correct response: 6 to 12 months Explanation: Thyroid replacement therapy in the client with hypothyroidism is lifelong; no clear cut guidelines exist regarding duration of antithyroid drug therapy because of exacerbatio ... (more) Question 16: (see full question) 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.) You selected: • Intolerance to heat • Weight gain • Fever • Lethargy Incorrect Correct response: • Fever • Insomnia • Intolerance to heat Explanation: Adverse effects of levothyroxine include irritability, fever, weight loss, insomnia, and intolerance to heat. Question 17: (see full question) The home care nurse may be involved in a wide range of activities when caring for the client with hyperthyroidism or hypothyroidism. What would be included in the client's plan of care? (Select all that apply.) You selected: • Provide information for rapid weight loss • Modifying medication dosages based on symptomatology • Assessing the client's response to therapy Incorrect Correct response: • Assessing the client's response to therapy • Teaching about the disease process • Preventing and managing adverse drug effects Explanation: The home care nurse may be involved in a wide range of activities, including assessing the client's response to therapy, teaching about the disease process, managing of ... (more) Question 18: (see full question) What question is important for the nurse to ask a client who is scheduled to receive a first dose of radioactive iodine for hyperthyroidism? You selected: "Have you discussed your cancer treatment plan with your provider?" Incorrect Correct response: "Do you have any trouble swallowing?" Explanation: Radioactive iodine is given orally, either as a solution or in a gelatin capsule. Since it is not given intravenously, any questions regarding needles or veins is not necessary. Ra ... (more) Question 19: (see full question) A 25-year-old client is diagnosed with hypothyroidism. The client is prescribed levothyroxine. Which instruction about the administration of this medication would be important? You selected: She should take the medication in the morning before breakfast. Correct Explanation: Levothyroxine interacts with many drugs. Many drugs interfere with its absorption, resulting in decreased serum concentration. Coadministration with levothyroxine should be separat ... (more) Question 20: (see full question) A female client with a six-month-old infant has been prescribed propylthiouracil (PTU). What is the most important question the nurse should ask this client? You selected: "Are you breast or bottle feeding?" Correct Explanation: Mothers taking PTU should not breastfeed their children (pregnancy category D). For the safety of the infant, the nurse should ask the client if she's breastfeeding. Taking thyro ... (more)

Question 1: (see full question) While you are talking with a client, she informs you that she has been under treatment for weight loss management. She indicates that she is taking antithyroid medication to increase weight loss. Included in your client education about antithyroid medication is: You selected: Taking antithyroid medication will increase weight loss; however, she needs to take additional dietary supplements of iodine as well. Incorrect Correct response: Taking excessive or unnecessary antithyroid medication may produce serious or life-threatening manifestations of toxicity. Explanation: The FDA has issued a BLACK BOX WARNING regarding the use of thyroid hormones for the treatment of obesity or weight loss, either alone or with other therapeutic agents. Significant ... (more) Question 2: (see full question) Which of the following would be the initial substance responsible for thyroid hormone regulation? You selected: Thyrotropin-releasing hormone Correct Explanation: The initial substance responsible for thyroid hormone release is thyrotropin-releasing hormone from the hypothalamus. This hormone then stimulates the anterior pituitary to r ... (more) Question 3: (see full question) Your client has been diagnosed with subclinical hypothyroidism. She states that she is feeling fine and does not want to take any medications. You inform her that some medical providers encourage pharmacological intervention to improve all of the following EXCEPT: You selected: Cholesterol metabolism. Incorrect Correct response: Weight loss. Explanation: The FDA has issued a BLACK BOX WARNING regarding the use of thyroid hormones for the treatment of obesity or for weight loss, either alone or with other therapeutic agents. Signifi ... (more) Question 4: (see full question) A client is prescribed levothyroxine. The nurse understands that this drug contains which of the following? You selected: T4 Correct Explanation: Levothyroxine is a synthetic salt of T4; desiccated thyroid contains both T3 and T4. Liothyronine contains T3. Iodine is an antithyroid agent. Calcitriol is a form of vitamin ... (more) Question 5: (see full question) Levothyroxine (Synthroid) 88 mcg is prescribed for a client. How many mg of Synthroid will the nurse administer? Do NOT round your answer. You selected: 8.8 Incorrect Correct response: 0.088 Explanation: 1 mg = 1000 mcg. 88 mcg = 0.088 mg Question 6: (see full question) Graves' disease is the most common cause of hyperthyroidism. You selected: True Correct Explanation: Graves' disease, a poorly understood condition that is thought to be an autoimmune problem, is the most common cause of hyperthyroidism. Question 7: (see full question) Thioamide antithyroid drugs treat hyperthyroidism by inhibiting the synthesis of thyroid hormone. What is the prototype of the thioamide anti-thyroid drugs? You selected: Propylthiouracil Correct Explanation: Propylthiouracil is the prototype of the thioamide antithyroid drugs. Although propranolol is used to treat some symptoms of hyperthyroidism, it is an antiadrenergic, not an antith ... (more) Question 8: (see full question) A physician has ordered an iodine procedure. What should be included in the nurse's pre-administration assessment for the client? Select all that apply: You selected: • Weight • Allergy history • Temperature • Pulse Correct Explanation: A physician has ordered an iodine procedure. The nurse's pre-administration assessment for the client should include vital signs (blood pressure, respiratory rate, pulse, and tempe ... (more) Question 9: (see full question) Which of the following drug types is most likely to cause respiratory depression and myxedema coma in clients with thyroid disorders? You selected: Methimazole Incorrect Correct response: Opioid analgesics Explanation: Clients with hypothyroidism are especially likely to experience respiratory depression and myxedema coma with opioid analgesics and other sedating drugs. These drugs should be avoi ... (more) Question 10: (see full question) The nurse cares for a client who was admitted for multiple bone fractures resulting from a fall. The client has a comorbidity of hypothyroidism. Which diet is the most appropriate for this client? You selected: Low calorie, high fiber Correct Explanation: Hypothyroidism slows the metabolism and decreases gastrointestinal secretions and motility. Hypothyroid clinets, therefore, should be encouraged to eat a low-calorie, high-fiber di ... (more) Question 11: (see full question) Knowing that thyroid hormones are principally concerned with the increase in metabolic rate of tissues, which of the following symptoms would a nurse observe in a client with uncontrolled hyperthyroidism? Select all that apply: You selected: • Hypotension • Sleepiness • Weight loss Incorrect Correct response: • Weight loss • Tachycardia Explanation: The signs and symptoms of hyperthyroidism include: increased metabolism, heat intolerance, elevated body temperature, weight loss, tachycardia, hypertension, nervousness, anxiety, ... (more) Question 12: (see full question) Which of the following is an essential element for the manufacturing of thyroxine and triiodothyronine? (Choose one) You selected: Iodine Correct Explanation: Iodine is the essential element for the manufacturing of thyroxine and triiodothyronine. Question 13: (see full question) Elderly patients are at increased risk for adverse cardiovascular reactions when taking thyroid drugs; therefore, increases in dosage, if needed, are made in smaller increments during a period of how many weeks? (Choose one) You selected: 4 weeks Incorrect Correct response: 8 weeks Explanation: Elderly patients are at increased risk for adverse cardiovascular reactions when taking thyroid drugs; therefore increases in dosage, if needed, are made in smaller increments duri ... (more) Question 14: (see full question) A physician has prescribed thyroid drugs to a patient with euthyroid goiter. Which of the following should the nurse include in the nursing diagnosis checklist? You selected: Anxiety related to symptoms, adverse reactions, and treatment regimen. Correct Explanation: The nurse should include anxiety related to symptoms, adverse reactions, and treatment regimen in the nursing diagnosis checklist on administering thyroid drugs to the patient with ... (more) Question 15: (see full question) Which hormone regulates the production and release of thyroid hormone? You selected: Thyroid-stimulating hormone (TSH) Correct Explanation: The anterior pituitary hormone called thyroid-stimulating hormone (TSH) regulates thyroid hormone production and release. The secretion of TSH is regulated by thyrotropin-releasing ... (more) Question 16: (see full question) Which of the following is potentially the most serious adverse reaction of the antithyroid drugs methimazole (Tapazole) and propylthiouracil (PTU)? (Choose one) You selected: Agranulocytosis Correct Explanation: Agranulocytosis is potentially the most serious adverse reaction of the antithyroid drugs methimazole (Tapazole) and propylthiouracil (PTU). Question 17: (see full question) A client with a history of cardiovascular disease, who is taking a thyroid hormone, reports chest pain. What is the nurse's best action? You selected: Notify the health care provider. Correct Explanation: The development of chest pain or worsening of cardiovascular disease should be reported to the primary health care provider immediately, because the client may require a reduction ... (more) Question 18: (see full question) An older adult has been prescribed a thyroid hormone replacement medication. The nurse should first clarify which prescription? You selected: Levothyroxine (Synthroid) 150 mcg orally once per day Correct Explanation: Synthroid is prescribed 100-125 mcg/day orally. A dose of 150 mcg orally once per day is outside of the normally prescribed range. The other medication doses are within recommended ... (more) \ Question 19: (see full question) A physician has recommended that a patient undergo thyroid diagnostic testing. During the course of therapy, the patient experiences myxedema due to the administration of an inadequate dose. Which of the following symptoms should the nurse monitor for in the patient? You selected: High fever Incorrect Correct response: Cold intolerance Explanation: The nurse should monitor for cold intolerance, lethargy, apathy, memory impairment, emotional changes, slow speech, deep coarse voice, thick dry skin, slow pulse, constipation, wei ... (more) Question 20: (see full question) The nurse is assisting a client who has just begun medication therapy for hypothyroidism. Which nursing assessment is most important in this client? You selected: Vital signs Correct Explanation: Vital signs would be the most important assessment because cardiac difficulties may occur early in treatment for hypothyroidism.