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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I can take ibuprofen to treat headaches.": Ibuprofen can increase the risk of kidney damage and should be avoided in transplant clients.
B. "I will get out of bed slowly in the morning.": While this is good general advice, it is not specific to cyclosporine therapy.
C. "I can expect hair loss when taking this medication.": Hair loss is not a common side effect of cyclosporine.
D. "I will call my doctor if I have a sore throat.": Cyclosporine suppresses the immune system, making the client more susceptible to infections, such as sore throat.
Correct Answer is ["D","G","H"]
Explanation
Client reports having three to four alcoholic beverages a couple times per week: Alcohol can interact with phenytoin, either enhancing its effects or reducing its efficacy. Chronic alcohol use can induce liver enzymes, altering phenytoin metabolism and potentially leading to subtherapeutic or toxic levels.
Client takes diazepam as needed for anxiety: Diazepam and phenytoin can interact, increasing the sedative effects and potentially leading to central nervous system depression. Monitoring is essential when these drugs are coadministered.
Last menstrual period was 3 months ago: This finding may indicate a possible pregnancy, which is critical because phenytoin is teratogenic and classified as a Pregnancy Category D drug. Immediate follow-up is required to rule out pregnancy before starting phenytoin therapy.
Temperature 35.4°C (97.6°F), oral: This is slightly lower than the normal range and does not require immediate follow-up.
Blood pressure 100/74 mmHg: This is within the expected range and does not contraindicate phenytoin use.
Client is a vegetarian and takes a multivitamin daily: A vegetarian diet is not a contraindication, though it may necessitate monitoring for folic acid levels since phenytoin can deplete folate.
Client has varicose veins: Varicose veins do not affect phenytoin use or metabolism.
Last bowel movement was 3 days ago: While mild constipation should be noted, it does not contraindicate phenytoin use.
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