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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?

A.

Sore throat

B.

Constipation

C.

Increased urine output

D.

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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Related Questions

Correct Answer is ["A","B","D","E"]

Explanation

A. Thyroid stimulating hormone (TSH): The anterior pituitary gland secretes TSH, which regulates the thyroid gland's function. Surgery on the anterior pituitary can potentially disrupt the production and regulation of TSH.

B. Prolactin: The anterior pituitary gland also produces prolactin. Surgery on the anterior pituitary can affect prolactin production.

C. Oxytocin: Oxytocin is produced by the posterior pituitary, not the anterior pituitary. Surgery on the anterior pituitary would not directly impact oxytocin production.

D. Gonadotropin hormones: These include follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are important for reproductive function. The anteriorpituitary secretes these hormones, so surgery on the anterior pituitary can impact their production.

E. Adrenocorticotropic hormone (ACTH): ACTH is essential for the stimulation of cortisol release from the adrenal glands. The production of ACTH is regulated by the anterior pituitary, so surgery in this area can affect ACTH levels.

Correct Answer is ["4"]

Explanation

Dose (mg) / Concentration (mg/mL) = Volume (mL)

Plugging in the given values, we get:

40 mg / 10 mg/mL = 4 Ml

Therefore, the nurse should administer 4 mL of furosemide per dose.

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