A patient is seen in the clinic and diagnosed with hyperthyroidism. Potassium iodide is prescribed. The nurse reviews the patient's medical record before administering the drug
What assessment finding would cause the nurse to alter the plan of care? A) A daily walk of 3 miles a day
B) A low fat, low sodium diet
C) A bowel movement every 2 to 3 days
D) Digoxin 0.125 mg daily
D
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Potassium iodide will cause the patient to move from hyperthyroidism to hypothyroidism, thus altering the patient's metabolism. Digoxin has a small margin of safety that could be altered by a change in thyroid function. The patient will need to be monitored carefully for an alteration in digoxin effects that may include an increased heart rate, arrhythmia, or reduced cardiac output. A daily walk of 3 miles, a low fat, low sodium diet, and a bowel movement every 2 to 3 days are important for maintenance of a healthy lifestyle but would not alter the plan of care.
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