A client is to receive radioactive iodine for treatment of hyperthyroidism. What should the client be educated to prepare for following this procedure?

Choice A reason: This statement is false. The client does not need to avoid taking acetaminophen with spironolactone, as there is no known interaction between these two drugs. Acetaminophen is a pain reliever and fever reducer that does not affect the blood clotting or the liver function. Spironolactone is a potassium sparing diuretic that reduces the fluid retention and the blood pressure. It does not increase the risk of bleeding or liver damage.

Choice B reason: This statement is false. The client does not need to report dry cough or blood sugar over 80 with spironolactone, as these are not common or serious side effects of this drug. Dry cough is more likely to occur with angiotensin converting enzyme (ACE) inhibitors, which are another class of blood pressure medications. Blood sugar over 80 is not a sign of hyperglycemia, which is a condition where the blood sugar is too high. Hyperglycemia can be caused by diabetes, steroids, or some other drugs, but not by spironolactone.

Choice C reason: This statement is true. The client should avoid bananas, cantaloupe, and spinach with spironolactone, as these are foods that are high in potassium. Spironolactone is a potassium sparing diuretic that prevents the loss of potassium in the urine. However, it can also cause hyperkalemia, which is a condition where the potassium level is too high. High potassium can cause muscle weakness, irregular heartbeat, or cardiac arrest. Therefore, the client should limit the intake of potassium rich foods and have their blood potassium level checked regularly.

Choice D reason: This statement is false. The client does not need to check their heart rate before each dose of spironolactone, as spironolactone does not affect the heart rate significantly. Spironolactone is a potassium sparing diuretic that reduces the fluid retention and the blood pressure. It can lower the heart rate slightly, but not to a dangerous level. However, the client should monitor their blood pressure and weight regularly and report any changes to their doctor..

Choice A reason: This statement is false. The client does not need to wear light clothing or avoid hot showers after receiving radioactive iodine. However, the client should avoid close contact with others, especially children and pregnant women, for a few days to prevent radiation exposure.

Choice B reason: This statement is false. The procedure is unlikely to leave the client infertile, as the dose of radioactive iodine is low and does not affect the reproductive organs. However, the client should avoid pregnancy for at least 6 months after the procedure, as a precaution.

Choice C reason: This statement is false. The client does not need to avoid caffeinated beverages after receiving radioactive iodine. However, the client should drink plenty of fluids to flush out the excess iodine from the body.

Choice D reason: This statement is true. The procedure is very likely to cause hypothyroidism, as the radioactive iodine destroys the thyroid cells that produce thyroid hormones. The client will need to take thyroid hormone replacement therapy for the rest of their life to prevent symptoms of hypothyroidism, such as fatigue, weight gain, cold intolerance, and depression.