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A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching?

A.

“This medication can cause constipation.”.

B.

“I will contact the provider if my throat becomes sore.”.

C.

“I will weigh myself once a week while on this medication.”.

D.

“This medication should be taken as needed when symptoms occur.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Methimazole does not typically cause constipation. It is used to treat hyperthyroidism by inhibiting the production of thyroid hormones.

 

Choice B rationale

 

A sore throat can be a sign of agranulocytosis, a serious side effect of methimazole that involves a dangerously low white blood cell count. Patients are advised to contact their provider if they experience a sore throat.

 

Choice C rationale

 

While monitoring weight is important for patients with hyperthyroidism, it is not a specific instruction related to methimazole use.

 

Choice D rationale

 

Methimazole should be taken regularly as prescribed, not on an as-needed basis.

 


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Monitoring for weight gain is not a primary concern with pramlintide. Pramlintide is an amylin analog used to control postprandial blood glucose levels. Weight gain is not a typical side effect of pramlintide; instead, it may cause weight loss due to its effects on appetite suppression and delayed gastric emptying.

Choice B rationale

Monitoring for hypoglycemia for 3 hours after pramlintide administration is crucial. Pramlintide can increase the risk of insulin-induced hypoglycemia, especially in patients with type 1 diabetes. This is because pramlintide slows gastric emptying and suppresses glucagon secretion, which can lead to lower blood glucose levels.

Choice C rationale

Injecting pramlintide in the upper arm is not recommended. Pramlintide should be administered subcutaneously in the abdomen or thigh, not the upper arm, to ensure proper absorption and effectiveness.

Choice D rationale

Administering pramlintide 30 minutes prior to a meal is incorrect. Pramlintide should be administered immediately before meals to help control postprandial blood glucose levels effectively.

Correct Answer is A

Explanation

Choice A rationale

Vomiting is a common sign of digoxin toxicity. Other symptoms include nausea, confusion, and visual disturbances.

Choice B rationale

Dilated pupils are not a typical sign of digoxin toxicity. Symptoms are more related to gastrointestinal and cardiac effects.

Choice C rationale

Bruising is not directly associated with digoxin toxicity. It may indicate other issues such as coagulopathy.

Choice D rationale

Peripheral edema is not a specific sign of digoxin toxicity. It is more commonly associated with heart failure.

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