The nurse is caring for a patient with elevated serum T3 and T4 levels who receives a new prescription for methimazole (Tapazole). Which patient statement indicates that additional teaching is needed about this medication?
1. "This medication will increase my metabolism."
2. "I must contact my physician if I plan to become pregnant."
3. "It may take several weeks for this medication to take effect."
4. "I may take a beta-blocker along with this medication."
Correct Answer: 1
Hyperthyroidism is treated by administering methimazole or PTU, medications that reduce TH production, thereby decreasing metabolism. Methimazole crosses the placenta and cannot be taken during pregnancy. Antithyroid medications inhibit thyroid hormone production but have no effect on already-produced and circulating thyroid hormone. It can take several weeks for the patient to experience the effects. To rapidly reduce the cardiovascular symptoms associated with hyperthyroidism, propranolol (Inderal) or esmolol, a rapid-acting parenteral beta-blocker may be used along with methimazole.
You might also like to view...
What laboratory test will the nurse obtain to determine what type of helminth is infecting the patient?
A) Stool culture B) Stool for ova and parasite C) Renal function studies D) Liver function studies
For what action would the nurse administer magnesium citrate?
A) Block absorption of fats B) Directly stimulate the nerve plexus in the intestinal wall C) Form a slippery coat on the contents of intestine D) Increase motility, increase fluid, and enlarge bulk of fecal matter
Child abuse may intensify the symptoms of other psychiatric disorders such as depression, eating disorders, attention-deficit hyperactivity disorder (ADHD), separation anxiety disorder, and other disorders
Indicate whether the statement is true or false
Which of the following drugs is an opiate antagonist used to prevent craving and relapse in alcohol or opiate abusers?
a. naltrexone (ReVia) b. risperidone (Risperdal) c. disulfiram (Antabuse) d. long-acting methadone