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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 D

Explanation

Choice A rationale

Phenytoin is an anticonvulsant used to control seizures and is not indicated for the treatment of adrenal insufficiency.

Choice B rationale

Calcitonin is used to treat conditions like osteoporosis and hypercalcemia, not adrenal insufficiency.

Choice C rationale

Buspirone is an anxiolytic used to treat anxiety disorders and is not used for adrenal insufficiency.

Choice D rationale

Fludrocortisone is a synthetic corticosteroid that is used to replace aldosterone in patients with adrenal insufficiency. It helps maintain sodium balance and blood pressure.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Potassium level should be reviewed because captopril can cause hyperkalemia due to its effect on aldosterone secretion.

Choice B rationale

WBC with differential should be reviewed because captopril can cause neutropenia or agranulocytosis, especially in patients with renal impairment or collagen vascular disease.

Choice C rationale

BUN level should be reviewed because captopril can affect renal function, leading to increased BUN levels.

Choice D rationale

Hemoglobin level is not typically affected by captopril, so it is not a priority for review.

Choice E rationale

Glucose level is not typically affected by captopril, so it is not a priority for review.

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