A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective?
Weight gain
Decreased menstrual flow
Clear breath sounds
Increased libido
The Correct Answer is A
A. Weight gain: Methimazole is used to treat hyperthyroidism, and effective treatment often leads to weight gain, as metabolism normalizes.
B. Decreased menstrual flow: Methimazole can affect menstrual cycles, but decreased flow is not an indicator of effectiveness.
C. Clear breath sounds: This is not related to the effectiveness of methimazole.
D. Increased libido: Changes in libido are not a direct indicator of methimazole’s effectiveness.
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Related Questions
Correct Answer is D
Explanation
A. Troponin: Troponin is used to evaluate cardiac injury, not the effectiveness of epoetin alfa.
B. Thyroxine (T4): T4 measures thyroid function, unrelated to epoetin alfa.
C. Aspartate aminotransferase (AST): AST is a liver enzyme, not used to monitor epoetin alfa therapy.
D. Hgb: Epoetin alfa stimulates erythropoiesis to increase hemoglobin levels in clients with anemia, particularly in chronic kidney disease or chemotherapy.
Correct Answer is C
Explanation
A. Dispose of the excess medication in the sharps container: Medication should not be disposed of in sharps containers; proper protocols must be followed.
B. Give the full contents of the prefilled syringe: Administering more than the prescribed dose can lead to overdose and adverse effects.
C. Discard the excess medication with a second nurse as a witness: Controlled substances, such as morphine, require a witness for proper disposal of unused portions.
D. Inject the prescribed dose and save the rest for later use: Leftover medication should never be saved for later, as this violates safety protocols and poses legal risks.
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