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?

Weight loss.

Warmer skin.

Increase in pulse rate.

Increased sleeping.

Answer and Explanation

The Correct Answer is D

Methimazole is an antithyroid medication that controls the overproduction of thyroid hormone in Graves’ disease.

One of the symptoms of Graves’ disease is difficulty sleeping due to the overproduction of thyroid hormone.

After taking methimazole for 2 months, the client’s thyroid hormone levels should decrease, leading to an improvement in sleep.

Choice A is wrong because weight loss is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to weight gain.

Choice B is wrong because warmer skin is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to cooler skin.

Choice C is wrong because an increase in pulse rate is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to a decrease in pulse rate.

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Correct Answer is C

Explanation

Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.

Abrupt discontinuation of propranolol can result in a variety of adverse reactions, including tachycardia (increased heart rate).

Choice A is wrong because bradypnea (abnormally slow breathing) is not a known withdrawal symptom of propranolol.

Choice B is wrong because hyperkalemia (high potassium levels) is not a known withdrawal symptom of propranolol.

Choice D is wrong because rhinitis (inflammation of the nasal mucous membrane) is not a known withdrawal symptom of propranolol.

A. Subcutaneous insulin injections. B. Bicarbonate by IV infusion. C. 0.9% sodium chloride 15 m/kg/hr. D. Potassium chloride 10 mEq/hr.

Correct Answer is C

Explanation

The first intervention for a client with diabetic ketoacidosis and a blood glucose level of 800 mg/dL should be to initiate fluid replacement therapy with 0.9% sodium chloride at a rate of 15 mL/kg/hr.

This will help to replace fluids lost through excessive urination and to dilute the excess sugar in the blood.

Choice A is wrong because subcutaneous insulin injections are not the first intervention for diabetic ketoacidosis.

Insulin therapy is generally given intravenously.

Choice B is wrong because bicarbonate by IV infusion is not the first intervention for diabetic ketoacidosis.

Choice D is wrong because potassium chloride at a rate of 10 mEq/hr is not the first intervention for diabetic ketoacidosis.

Electrolyte replacement may be necessary to replace minerals such as sodium, potassium, and chloride, but this is not the first intervention 2.

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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

A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings?

Correct Answer is C

Explanation

A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?

Correct Answer is C

Explanation

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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?