The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?

Offer both drugs together with a meal.

Administer iodine one hour before PTU.

Schedule both medications at bedtime.

Give parental dose once every 24 hours.

Answer and Explanation

The Correct Answer is B

A. Offer both drugs together with a meal:
Propylthiouracil (PTU) and Lugol's solution are typically not administered together with a meal. Lugol's solution, a strong iodine solution, is generally taken separately from PTU to avoid potential interactions and ensure optimal absorption of each medication.

B. Administer iodine one hour before PTU:
Lugol’s solution (iodine) is usually given before PTU because iodine can decrease the vascularity of the thyroid gland and make the thyroid gland less active, which helps PTU work more effectively. This timing helps optimize the therapeutic effects of both medications.

C. Schedule both medications at bedtime:
The timing of administration for PTU and Lugol’s solution is based on their specific interactions and pharmacokinetics rather than convenience. Scheduling them at bedtime does not align with the recommended practice for their optimal effectiveness.

D. Give parental dose once every 24 hours:
Both PTU and Lugol’s solution are not administered as a single dose every 24 hours. PTU is typically given multiple times per day to maintain effective blood levels, and Lugol’s solution is usually given as directed by the healthcare provider, often several times a day but not necessarily in a single 24-hour dose.

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Correct Answer is A

Explanation

A. Worsening headache:
Vasopressin is used to manage diabetes insipidus by reducing excessive urine output and increasing water reabsorption. A worsening headache could indicate an adverse reaction or side effect such as water intoxication or an increase in intracranial pressure, which requires immediate attention from the healthcare provider.

B. Low urine specific gravity:
Vasopressin should increase urine specific gravity by concentrating the urine. A low urine specific gravity would indicate that the medication is not effectively concentrating the urine, but it is not an immediate or severe side effect needing urgent reporting.

C. Polyuria:
Polyuria (excessive urine output) is a characteristic of diabetes insipidus, and vasopressin is intended to reduce this symptom. If polyuria persists despite treatment, it suggests that the medication is not working as intended but does not indicate a severe side effect.

D. Polydipsia:
Polydipsia (excessive thirst) can occur in diabetes insipidus and may continue despite treatment with vasopressin. While it indicates ongoing symptoms, it is not a severe side effect of the medication that would require urgent reporting to the healthcare provider.

A. No known allergies B. Peripheral IV in large vein C. Potassium 4.4 mEq/L (4.4 mmol/L) D. Used for prophylaxis E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L) F. Dosage in safe range

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

Explanation

A. No known allergies:
Having no known allergies is a significant factor in determining the safety of administering vancomycin, as it reduces the risk of an allergic reaction. Vancomycin can cause allergic reactions or hypersensitivity, so it’s important to ensure the client is not allergic to this medication.

B. Peripheral IV in large vein:
Vancomycin should be administered through a large vein because it can be irritating to smaller veins and potentially cause thrombophlebitis or vein damage. Using a large vein helps to minimize these risks and ensure safe administration.

C. Potassium 4.4 mEq/L (4.4 mmol/L):
While potassium levels are important to monitor, they are not directly related to the safety of administering vancomycin. Vancomycin does not have a direct impact on potassium levels, so this finding does not specifically indicate the safety of vancomycin administration.

D. Used for prophylaxis:
Vancomycin is often used as prophylaxis in certain surgical procedures to prevent infection, especially in cases where there is a high risk of methicillin-resistant Staphylococcus aureus (MRSA) infection. The use of vancomycin for prophylaxis is a common practice and indicates it is being administered for an appropriate reason.

E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L):
A blood urea nitrogen (BUN) level of 17 mg/dL is slightly elevated but not necessarily a contraindication for vancomycin administration. However, vancomycin can impact kidney function, so it is important to monitor renal function but not the sole factor in determining safety.

F. Dosage in safe range:
Ensuring the dosage of vancomycin is within the safe range is crucial for preventing toxicity and achieving therapeutic efficacy. This is an essential consideration when administering the medication to avoid adverse effects and ensure effective treatment.

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The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?

Correct Answer is A

Explanation

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

Explanation

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