A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng.
What is the correct response by the nurse?

“It increases the risk for low blood glucose levels.”.

“There is no reason ginseng cannot be taken by people with diabetes.”.

“There is no research to indicate what effect it will have.”.

“It increases the risk for high blood glucose levels.”.

Answer and Explanation

The Correct Answer is A

Ginseng is a herbal supplement that may have some antidiabetic effects, such as improving glucose tolerance and insulin resistance. However, ginseng may also interact with certain diabetes medications, especially insulin and sulfonylureas, and cause hypoglycemia (low blood sugar)2. Therefore, the nurse should inform the client about this potential risk and advise them to consult their doctor before taking ginseng.

Choice B is wrong because there is a reason ginseng cannot be taken by people with diabetes without medical supervision.

As explained above, ginseng may lower blood glucose levels too much and cause hypoglycemia.

Choice C is wrong because there is some research to indicate what effect ginseng will have on diabetes.

Several studies have shown that ginseng may have beneficial effects on blood glucose control, but also some adverse effects such as hypoglycemia.

Choice D is wrong because ginseng does not increase the risk for high blood

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Correct Answer is C

Explanation

Propylthiouracil (PTU) is an antithyroid drug that blocks the synthesis of thyroid hormones by interfering with the oxidation of iodine and the coupling of iodotyrosines.

Thyroid and Antithyroid Drugs - Katzung & Trevor's Pharmacology Examination and Board Review, 9th Edition

This reduces the levels of triiodothyronine (T) and thyroxine (T) in the blood and relieves the symptoms of hyperthyroidism.

Choice A is wrong because PTU does not destroy any part of the thyroid gland.

It only inhibits the production of thyroid hormones within the gland.

Choice B is wrong because PTU does not suppress the anterior pituitary gland’s secretion of thyroid-stimulating hormone (TSH).

TSH is a hormone that stimulates the thyroid gland to produce thyroid hormones.

PTU does not affect the feedback loop between the hypothalamus, pituitary, and thyroid glands.

Choice D is wrong because PTU does not suppress the hypothalamus’s production of thyrotropin-releasing hormone (TRH).

TRH is a hormone that stimulates the pituitary gland to secrete TSH.

PTU does not affect the feedback loop between the hypothalamus, pituitary, and thyroid glands.

Normal ranges for T are 80 to 220 ng/dL, for T are 4.5 to 11.2 mcg/dL, and for TSH are 0.4 to 4.0 mIU/L.

A. Monitoring the client for increased bruising. B. Assessing for signs and symptoms of infection. C. Assessing the client’s level of consciousness. D. Monitoring the client’s electrolyte levels.

Correct Answer is A

Explanation

This is because levothyroxine can increase the anticoagulant effect of oral anticoagulants and increase the risk of bleeding. The nurse should check the client’s prothrombin time and international normalized ratio (INR) regularly and report any abnormal values to the prescriber.

Choice B is wrong because hypothyroidism does not increase the risk of infection.

Choice C is wrong because hypothyroidism does not affect the level of consciousness unless it is severe and causes myxedema coma.

Choice D is wrong because hypothyroidism does not cause electrolyte imbalances.

Normal ranges for prothrombin time are 11 to 13.5 seconds and for INR are 0.8 to 1.22.

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A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng. What is the correct response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After administering propylthiouracil (PTU), what effect would the nurse anticipate the drug will have in the client’s body?

Correct Answer is C

Explanation

A client has a history of atrial fibrillation and is taking an oral anticoagulant. The client has been newly diagnosed with hypothyroidism and placed on levothyroxine. What assessment should the nurse prioritize?

Correct Answer is A

Explanation

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A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng.
What is the correct response by the nurse?