The nurse is administering a medication to a client with hyperthyroidism to block the production of thyroid hormone. The client is not a candidate for surgical intervention at this time. What medication should the nurse administer to the client?
A) Levothyroxine (Synthroid)
B) Spironolactone (Aldactone)
C) Propylthiouracil (PTU)
D) Propranolol (Inderal)
C
Feedback:
Antithyroid drugs, such as propylthiouracil (PTU) and methimazole are given to block the production of thyroid hormone preoperatively or for long-term treatment for clients who are not candidates for surgery or radiation treatment. Levothyroxine (Synthroid) would increase the level of thyroid and be contraindicated in this client. Spironolactone (Aldactone) is a diuretic and does not have the action of blocking production of thyroid hormone and neither does propranolol (Inderal), which is a beta-blocker.
You might also like to view...
The ED nurse is caring for a patient who has gone into cardiac arrest. During external defibrillation, what action should the nurse perform?
A) Place gel pads over the apex and posterior chest for better conduction. B) Ensure no one is touching the patient at the time shock is delivered. C) Continue to ventilate the patient via endotracheal tube during the procedure. D) Allow at least 3 minutes between shocks.
The nurse understands that the osmotic makeup of the blood has an effect on the composition of interstitial spaces. Because of this factor, the nurse plans to assess the patient for which complication?
1. Transfusion reaction 2. Hypovolemia 3. Infection 4. Circulatory overload
The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. An appropriate nursing diagnosis for this child is
1. impaired gas exchange related topulmonary congestion secondary to the increased pulmonary blood flow. 2. deficient fluid volume related tohyperthermia secondary to the congenital heart defect. 3. acute pain related to the effects of acongenital heart defect. 4. hypothermia related to decreasedmetabolic state.
Patients with fibromyalgia have all of the following signs and symptoms except
A. pain both above and below the waist. B. pain on palpation to at least 7 of 13 specified body sites. C. feeling abnormally tired, including waking up feeling tired. D. general soreness, ache, and stiffness that is usually worst in the morning.