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.

Increase in pulse rate.

Increased sleeping.

Warmer skin.

Answer and Explanation

The Correct Answer is C

Methimazole is an antithyroid medication that blocks the thyroid from making thyroid hormones. It is used to treat hyperthyroidism caused by Graves’ disease, which is an autoimmune disorder that stimulates the thyroid gland to produce excess hormones. After taking methimazole for 2 months, the client should expect to see a reduction in the symptoms of hyperthyroidism, such as weight loss, increased pulse rate, and heat intolerance. Increased sleeping is a sign of improved thyroid function, as hyperthyroidism can cause insomnia and restlessness.

Choice A is wrong because weight loss is a symptom of hyperthyroidism, not a result of methimazole treatment. Methimazole should lower the thyroid hormone levels and help the client gain weight.

Choice B is wrong because an increase in pulse rate is also a symptom of hyperthyroidism, not a result of methimazole treatment. Methimazole should lower the heart rate and blood pressure by reducing thyroid hormone levels.

Choice D is wrong because warmer skin is another symptom of hyperthyroidism, not a result of methimazole treatment. Methimazole should improve the client’s heat tolerance and make the skin cooler and less sweaty.

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Correct Answer is A

Explanation

This is because the umbilicus is a potential site of infection and should be avoided when administering subcutaneous heparin.

Choice B is wrong because massaging the site after administering the medication can cause bruising and hematoma formation.

Choice C is wrong because a 21-gauge needle is too large for subcutaneous injection and can cause tissue trauma and bleeding.

A smaller needle, such as 25- or 27-gauge, should be used.

Choice D is wrong because aspirating before injecting the medication can increase the risk of hematoma formation and is not recommended for subcutaneous heparin.

A. Hepatitis B vaccine within the last week. B. Chronic kidney disease. C. Diabetes mellitus. D. Alcohol use disorder.

Correct Answer is D

Explanation

Acetaminophen is contraindicated in patients with severe hepatic impairment or severe active liver disease1 and should be used with caution in patients with hepatic impairment or active liver disease. Alcohol use disorder can cause liver damage and increase the risk of acetaminophen toxicity.

Choice A is wrong because hepatitis B vaccine within the last week is not a contraindication for receiving acetaminophen.

There is no evidence that acetaminophen interferes with the immune response to the vaccine or causes adverse effects.

Choice B is wrong because chronic kidney disease is not a contraindication for receiving acetaminophen.

Acetaminophen is mainly metabolized by the liver and has minimal renal excretion.

However, patients with chronic kidney disease should consult their doctor before taking acetaminophen as they may have other conditions that affect its use.

Choice C is wrong because diabetes mellitus is not a contraindication for receiving acetaminophen.

Acetaminophen does not affect blood glucose levels or interact with oral antidiabetic drugs.

However, patients with diabetes mellitus should consult their doctor before taking acetaminophen as they may have other conditions that affect its use.

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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 A

Explanation

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Correct Answer is D

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?