A nurse is caring for a client who has a new prescription for methimazole for hyperthyroidism. Which of the following findings should the nurse report to the provider as a potentially life-threatening adverse effect?

Sore throat

WBC count 12.000/mm3 (5.000 to 10,000/mm3)

Insomnia

Weight loss of 1 kg (2.2 pounds) in 2 weeks

Answer and Explanation

The Correct Answer is A

A. A sore throat in a client taking methimazole could indicate a serious neutropenic reaction, which is a potentially life-threatening side effect of this medication.

B. A WBC count of 12,000/mm³ is slightly elevated but not immediately life-threatening and is unlikely to be related to methimazole.

C. Insomnia is a common symptom of hyperthyroidism and not an adverse effect of methimazole.

D. Weight loss is expected with hyperthyroidism and does not warrant immediate concern unless it is severe or worsening.

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Correct Answer is A

Explanation

A. Dark stools could indicate gastrointestinal bleeding, a known side effect of enoxaparin, and should be reported immediately.

B. Enoxaparin should be injected subcutaneously, not into a muscle.

C. Enoxaparin is an anticoagulant and does not directly decrease bleeding; rather, it prevents blood clot formation.

D. Enoxaparin should be injected at a 90-degree angle into the subcutaneous tissue.

A. 24 hr urine output 960 mL B. Blood pressure 122/88 mm Hg C. 1+ deep tendon reflexes D. Pupils equal, round, react to light, accommodation

Correct Answer is C

Explanation

A. Output above 30 mL/hr is acceptable and not concerning.

B. A BP of 122/88 is within normal limits.

C. A decrease in deep tendon reflexes (DTRs), such as 1+, can indicate magnesium toxicity and requires immediate intervention.

D. Normal pupillary findings do not indicate toxicity.

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A nurse is caring for a client who has a new prescription for methimazole for hyperthyroidism. Which of the following findings should the nurse report to the provider as a potentially life-threatening adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is assessing a client who is receiving IV magnesium sulfate for treatment of preeclampsia. Which of the following findings should the nurse report?

Correct Answer is C

Explanation

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