A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Increase in pulse rate

Warmer skin

Weight loss

Increased sleeping

Answer and Explanation

The Correct Answer is D

A) Increase in pulse rate - Methimazole is used to treat hyperthyroidism and would be expected to decrease, not increase, the pulse rate.

B) Warmer skin - Methimazole treatment aims to reduce thyroid hormone levels, which would typically lead to a cooler skin as the body's metabolic rate normalizes.

C) Weight loss - Methimazole treatment aims to reduce thyroid hormone levels, which would typically lead to potential weight gain as the body's metabolic rate normalizes.

D) Increased sleeping - Methimazole results in increased sleeping, as the client's metabolism slows down, leading to less energy and more fatigue.

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Correct Answer is D

Explanation

A) Withdraw the NPH insulin from the vial. - Injecting air into the regular insulin vial should be the second step to prevent contamination when mixing insulin.

B) Withdraw the regular insulin from the vial. - This is the third step after injecting air into regular insulin vial. The clear (regular) insulin should be drawn up before the cloudy (NPH) insulin to prevent contamination.

C) Inject air into the regular insulin vial. - This is the second step. This action allows for easier withdrawal of the insulin and prevents negative pressure in the vial.

D) Inject air into the NPH vial. - The nurse should first inject air into the NPH vial first. This allows for easier withdrawal of NPH by preventing a vacuum from forming.

A. "Administer the medication into one nostril once per week." B. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose." C. "Plan to self-administer this medication for the next 6 months. D. "Lie down for 1 hour after administering the medication."

Correct Answer is A

Explanation

A) "Administer the medication into one nostril once per week." - Nasal cyanocobalamin is typically administered into one nostril once per week to treat pernicious anemia.

B) "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose." - Nasal decongestants are not typically recommended before administering nasal medications.

C) "Plan to self-administer this medication for the next 6 months." - The duration of treatment for pernicious anemia with nasal cyanocobalamin may vary and should be determined by the healthcare provider.

D) "Lie down for 1 hour after administering the medication." - There is no need to lie down after administering nasal cyanocobalamin.

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A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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