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. Assist the client to a left lateral position. B. Implement fluid restrictions. C. Request a dosage increase from the provider. D. Prepare the client for hemodialysis.

Correct Answer is C

Explanation

A. Assist the client to a left lateral position.
- This is generally used for clients at risk of aspiration, and it's not indicated based on the lithium level.
B. Implement fluid restrictions.
- Fluid restrictions are usually implemented when there is a risk of fluid overload or hyponatremia, and not in this case. In fact, dehydration can raise lithium levels to toxic levels, so proper hydration is important.
C. Request a dosage increase from the provider.
- While 0.6 mEq/L is within the therapeutic range, some providers may want to see a level slightly higher for maintenance. So requesting a dosage increase from the provider is the correct action.
D. Prepare the client for hemodialysis.
- Hemodialysis is used to remove lithium from the blood in cases of severe lithium toxicity, which is indicated by levels significantly higher than 1.5 mEq/L. This is not needed when the lithium level is 0.6 mEq/L.

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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?

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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?