A nurse is assessing a client who has Graves' disease and is taking methimazole.
Which of the following findings indicates the client needs a lower dose of the medication?

Exophthalmos.

Diaphoresis.

Bradycardia.

Weight loss.

Answer and Explanation

The Correct Answer is C

Methimazole is a medication used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone.

Bradycardia, or a slow heart rate, can be a sign that the client’s thyroid hormone levels have become too low, indicating that the dose of methimazole may need to be decreased.

Choice A is wrong because Exophthalmos, is not an indication for a lower dose of methimazole as it is a symptom of Graves’ disease itself and not related to the medication.

Choice B is wrong because Diaphoresis, or excessive sweating, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.

Choice D is wrong because Weight loss, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.

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Correct Answer is D

Explanation

Heparin therapy is used to prevent thrombus propagation and distal embolization while allowing the endogenous fibrinolytic system to dissolve existing clots in deep-vein thrombosis (DVT)1.

A reduction in calf circumference may indicate that the clot is dissolving and the therapy is effective.

Choice A is wrong because platelets within the expected reference range do not necessarily indicate that heparin therapy for DVT is effective.

Choice B is wrong because INR (International Normalized Ratio) is used to monitor warfarin therapy, not heparin therapy.

Choice C is wrong because the presence of pedal pulses bilaterally does not necessarily indicate that heparin therapy for DVT is effective.

A. Losartan and atorvastatin. B. Propranolol and raloxifene. C. Digoxin and levothyroxine. D. Furosemide and amikacin.

Correct Answer is D

Explanation

Combining furosemide with certain aminoglycoside antibiotics like amikacin may increase the risk of hearing loss.

The nurse should monitor this client for hearing loss related to a medication interaction.

Choice A is wrong because there is no known interaction between losartan and atorvastatin that can cause hearing loss.

Choice B is wrong because there is no known interaction between propranolol and raloxifene that can cause hearing loss.

Choice C is wrong because there is no known interaction between digoxin and levothyroxine that can cause hearing loss.

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A nurse is assessing a client who has Graves' disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following findings should indicate to the nurse that the therapy is effective?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse is assessing a client who has Graves' disease and is taking methimazole.
Which of the following findings indicates the client needs a lower dose of the medication?