Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?

Sore throat

Constipation

Increased urine output

Painful, excessive menstruation

Answer and Explanation

The Correct Answer is A

A. Correct. Propylthiouracil (PTU) is an antithyroid medication used to treat hyperthyroidism, including Graves' disease. It can sometimes cause agranulocytosis, a condition characterized by a severe reduction in white blood cells, which can lead to symptoms like a sore throat and fever. These symptoms should be reported immediately.

B. Constipation is not a common side effect of propylthiouracil. If it occurs, it is usually not an urgent concern, and can often be managed with dietary and lifestyle changes.

C. Increased urine output is not typically associated with propylthiouracil. It is more likely to be seen with diuretic medications or conditions like diabetes.

D. Painful, excessive menstruation is not a direct side effect of propylthiouracil. However, hormonal changes related to hyperthyroidism can affect menstrual patterns. If the client is experiencing significant changes in menstrual bleeding, it should be reported to the healthcare provider, but it may not be considered an immediate emergency.

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Correct Answer is A

Explanation

A. Have an eye examination once per year - Regular eye examinations are crucial for detecting and managing retinopathy, a complication of diabetes that affects the eyes.

B. Examine your feet carefully every day - Daily foot examinations are essential to detect any early signs of foot problems, which is particularly important in preventing complications like nephropathy.

C. Wear compression stockings - Compression stockings are not directly related to preventing retinopathy and nephropathy in diabetes. They are more commonly used to improve blood flow in the legs.

D. "Maintain stable blood glucose levels" - While maintaining stable blood glucose levels is important for overall diabetes management, it is not specific to preventing retinopathy and nephropathy. It is a general principle for managing diabetes.

A. More rapid insulin release B. intolerance of fatty foods C. Decreased sensitivity to insulin D. Lower and prolonged blood glucose levels

Correct Answer is C

Explanation

A. Incorrect. Aging is associated with a decrease in insulin production and a reduction in the speed of insulin release, not an increase.

B. Incorrect. Intolerance of fatty foods is not typically an age-related endocrine change. It may be related to other factors such as digestive issues.

C. Correct. Decreased sensitivity to insulin is a common age-related endocrine change, particularly in individuals with type 2 diabetes mellitus.

D. Incorrect. Lower and prolonged blood glucose levels are not an expected age-related endocrine change. Instead, insulin resistance tends to result in elevated blood glucose levels.

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Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?

Correct Answer is C

Explanation

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