A nurse is caring for a client who has a low thyroid stimulating hormone (TSH) level and elevated thyroxine (T4) and triiodothyronine (13) levels. Which of the following medications should the nurse anticipate to treat Graves' disease?
Propylthiouracil (PTU)
Morphine sulfate (Astramorph)
Sucralfate (Caralete)
Metformin (Glucophages)
The Correct Answer is A
A. Propylthiouracil (PTU): PTU is an antithyroid medication used to treat Graves' disease by inhibiting thyroid hormone production.
B. Morphine sulfate (Astramorph): Morphine is a pain medication and is not used for Graves' disease.
C. Sucralfate (Carafate): Sucralfate is used to treat ulcers, not thyroid disorders.
D. Metformin (Glucophage): Metformin is used for diabetes, not for thyroid disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Respiratory depression is a hallmark sign of opioid toxicity. A rate of 7 breaths per minute indicates severe respiratory depression, which can be life-threatening and requires immediate intervention with naloxone.
B. Anxiety is not typically associated with opioid toxicity, but rather may be a sign of withdrawal or other conditions.
C. Fever is not a sign of opioid toxicity. It may be a sign of infection or other medical issues.
D. Hypertension is not typical of opioid toxicity; opioids usually cause hypotension, not hypertension.
Correct Answer is D
Explanation
Rationale
A. Celecoxib is a second-generation NSAID that specifically inhibits COX-2 enzymes and is less likely to cause gastrointestinal side effects compared to first-generation NSAIDs.
B. Morphine sulfate is an opioid analgesic and does not have NSAID properties. It works by binding to opioid receptors to relieve pain.
C. Metformin is an oral medication used to manage blood glucose in type 2 diabetes and is not an NSAID.
D. Ibuprofen is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes, reducing pain, inflammation, and fever.
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