A nurse in an outpatient clinic is providing teaching to a female client who has hyperthyroidism about a new prescription for methimazole. Which of the following statements by the client indicates an understanding of the teaching?

"I know I will need to take methimazole for the rest of my life."

"I should take methimazole 1 hr before eating."

"I should be vigilant with birth control while taking methimazole."

"I should stop taking methimazole when my night sweats go away."

Answer and Explanation

The Correct Answer is C

A. "I know I will need to take methimazole for the rest of my life.": Methimazole therapy is often temporary, used to control hyperthyroidism until definitive treatment or remission occurs. Lifelong use is not necessarily required.

B. "I should take methimazole 1 hr before eating.": Methimazole can be taken with or without food. Timing relative to meals is not critical for its absorption, so taking it strictly one hour before eating is unnecessary.

C. "I should be vigilant with birth control while taking methimazole.": Methimazole can be teratogenic, especially during the first trimester of pregnancy. Effective contraception is important to prevent fetal harm while on this medication.

D. "I should stop taking methimazole when my night sweats go away.": Symptoms may improve before thyroid hormone levels normalize. Stopping methimazole prematurely can lead to relapse of hyperthyroidism, so discontinuation should only occur under provider guidance.

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Correct Answer is ["1.5"]

Explanation

Calculation:

Calculate the total dose in milligrams (mg).

Ordered dose: 0.02 mg/kg

Patient weight: 30 kg

Total dose (mg) = 0.02 mg/kg x 30 kg

= 0.6 mg.

Calculate the volume to administer in milliliters (mL).

Total dose: 0.6 mg

Available concentration: 0.4 mg/mL

Volume (mL) = Total Dose (mg) / Available Concentration (mg/mL)

= 0.6 mg / 0.4 mg/mL

= 1.5 mL.

A. "Drink the elixir using a straw to prevent staining your teeth." B. "Take the medication with an antacid if it upsets your stomach." C. "Increase your fiber intake to prevent constipation." D. "Stop taking the medication if your stools become green or black." E. "Increase your intake of dairy products to increase the absorption of this medication.

Correct Answer is ["A","C"]

Explanation

A. "Drink the elixir using a straw to prevent staining your teeth.": Using a straw helps prevent the liquid iron from coming into direct contact with the teeth, reducing the risk of permanent staining, which is a common side effect of ferrous sulfate elixir.

B. "Take the medication with an antacid if it upsets your stomach.": Antacids decrease the absorption of iron. To optimize effectiveness, ferrous sulfate should be taken on an empty stomach or with vitamin C–rich foods, rather than with antacids.

C. "Increase your fiber intake to prevent constipation.": Iron supplements commonly cause constipation. Increasing dietary fiber, fluids, and physical activity can help manage this adverse effect and maintain regular bowel function.

D. "Stop taking the medication if your stools become green or black.": Dark stools are a common, harmless side effect of iron supplementation. Clients should be reassured rather than stopping the medication.

E. "Increase your intake of dairy products to increase the absorption of this medication.": Dairy products contain calcium, which inhibits iron absorption. Iron should be taken separately from calcium-rich foods or supplements to maximize absorption.

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A nurse in an outpatient clinic is providing teaching to a female client who has hyperthyroidism about a new prescription for methimazole. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer atropine 0.02 mg/kg via IV bolus to a school-age child who weighs 30 kg. Available is 0.4 mg/mL. How many mL should the nurse administer? (Round your answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero).

Correct Answer is ["1.5"]

Explanation

A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

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