A nurse is teaching a client who has hyperthyroidism about managing the potential adverse effects of methimazole. Which of the following concepts should the nurse include?

Methods for managing vasomotor diaphoresis

Manifestations of agranulocytosis

Interactions with combined oral contraceptive pills

Consistency with dietary intake of leafy green vegetables

Answer and Explanation

The Correct Answer is B

A. Methods for managing vasomotor diaphoresis: While clients with hyperthyroidism may experience excessive sweating, methimazole does not specifically cause or worsen diaphoresis.

B. Manifestations of agranulocytosis: Methimazole can cause agranulocytosis, a serious reduction in white blood cells. Clients should be taught to report symptoms such as fever, sore throat, or signs of infection promptly, as early detection is critical to prevent severe complications.

C. Interactions with combined oral contraceptive pills: Methimazole does not have significant interactions with oral contraceptives. While medication interactions should always be considered, this is not a primary teaching point for methimazole adverse effects.

D. Consistency with dietary intake of leafy green vegetables: Dietary intake of leafy greens is important for clients taking warfarin due to vitamin K content, but it does not affect methimazole therapy or its side effects.

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Correct Answer is C

Explanation

A. "I have vomited several times.": Vomiting can be a side effect of penicillin, but it is usually manageable and not immediately life-threatening unless severe dehydration occurs.

B. "I am having diarrhea.": Mild diarrhea is a common side effect of antibiotics. It is important to monitor for signs of C. difficile infection, but occasional loose stools are not immediately critical.

C. "I am having trouble swallowing.": Difficulty swallowing may indicate oropharyngeal edema, which can be a sign of a severe allergic reaction to penicillin. This requires immediate attention as it can progress to airway obstruction.

D. "My skin feels itchy all over.": Generalized itching may indicate a mild allergic reaction. While it should be monitored, it is less urgent than symptoms suggesting airway compromise.

A. Hypercalcemia B. Hypomagnesemia C. Hyponatremia D. Hyperkalemia

Correct Answer is B

Explanation

A. Hypercalcemia: Elevated calcium levels are not commonly associated with long-term omeprazole use. Hypercalcemia typically presents with fatigue, constipation, and kidney stones rather than muscle cramps.

B. Hypomagnesemia: Long-term use of proton pump inhibitors like omeprazole can lead to decreased magnesium absorption, resulting in hypomagnesemia. Low magnesium levels can cause neuromuscular excitability, leading to severe muscle cramps, tremors, and even arrhythmias.

C. Hyponatremia: Sodium imbalances are not a known effect of omeprazole therapy. Hyponatremia usually presents with confusion, lethargy, and seizures rather than isolated muscle cramps.

D. Hyperkalemia: Elevated potassium levels are not typically caused by omeprazole. Hyperkalemia primarily affects cardiac function and may present with arrhythmias, not muscle cramps.

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A nurse is teaching a client who has hyperthyroidism about managing the potential adverse effects of methimazole. Which of the following concepts should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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