A client has been taking propylthiouracil (PTU) for several weeks. Which client statements would the nurse interpret as indicating that the drug is having its desired effects?
1. "I am sleeping so much better."
2. "I can't seem to gain any weight no matter how much I eat."
3. "I don't feel as anxious as I once did."
4. "My heart doesn't seem to be racing anymore."
5. "My skin in not bruising as much."
1,3,4
Rationale 1: A reduction in insomnia is a desired effect of this drug.
Rationale 2: A desired effect of this drug is that the client will gain weight.
Rationale 3: Reduction of anxiety is a desired effect of this drug.
Rationale 4: A slower pulse rate is a desired effect of this drug.
Rationale 5: Skin bruising is not an effect of hyperthyroidism, so this effect would not be expected.
Global Rationale: A reduction in insomnia, reduction of anxiety, and a slower pulse are the desired effects of this drug. A desired effect of this drug is that the client will gain weight. Skin bruising is not an effect of hyperthyroidism, so this effect would not be expected.
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