The nurse is caring for a 32-year-old woman who has an enlarged thyroid, bulging eyes, and elevated T3 and T4 levels and states she has not had a menstrual cycle in 6 months. She also states she has tremors and keeps losing weight without trying. Which of the following medications would the nurse anticipate being ordered?

Hydroxychloroquine

Levothyroxine

Potassium iodide

Methotrexate

Answer and Explanation

The Correct Answer is C

Choice A reason: Hydroxychloroquine treats autoimmune diseases like lupus by modulating immunity, not hyperthyroidism’s excess thyroid hormone production, irrelevant here.

Choice B reason: Levothyroxine supplements thyroid hormone in hypothyroidism, worsening this patient’s hyperthyroidism (high T3/T4), contraindicated for her symptoms.

Choice C reason: Potassium iodide inhibits thyroid hormone release, reducing T3 and T4 in hyperthyroidism (e.g., Graves’), addressing her goiter, exophthalmos, and weight loss effectively.

Choice D reason: Methotrexate suppresses immunity in cancer or autoimmunity, not targeting thyroid overactivity or hormone levels, unsuitable for hyperthyroidism management.

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Correct Answer is D

Explanation

Choice A reason: Working in undeveloped areas increases general infection risk, but hepatitis B specifically requires blood or fluid exposure, less likely without direct contact.

Choice B reason: Attending a conference poses low hepatitis B risk, as it’s not spread by casual contact, requiring blood or sexual transmission, not typical here.

Choice C reason: Assisting in birth involves fluid exposure, but two weeks is too short for hepatitis B symptoms; incubation is 45-180 days, so unlikely.

Choice D reason: Tattooing with unsterile needles risks hepatitis B via bloodborne transmission, matching the 90-day incubation period, the most likely risk here.

A. Donepezil B. Prednisone C. Hydroxychloroquine D. Methotrexate

Correct Answer is A

Explanation

Choice A reason: Donepezil treats Alzheimer’s by inhibiting cholinesterase, boosting acetylcholine for cognition. Lupus, an autoimmune disease, doesn’t involve dementia primarily, so this drug lacks relevance to its management.

Choice B reason: Prednisone, a corticosteroid, suppresses inflammation and immune response in lupus, reducing joint pain and organ damage from autoantibody activity, making it a standard treatment.

Choice C reason: Hydroxychloroquine modulates immunity and reduces lupus flares by stabilizing lysosomes and decreasing autoantibody production, directly addressing its autoimmune pathology.

Choice D reason: Methotrexate, an immunosuppressant, inhibits folate metabolism, curbing immune cell proliferation in lupus, effectively managing severe symptoms like arthritis or organ involvement.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse notes in the client's health history a diagnosis of hepatitis B. Which of the following activities would most likely put the client at risk for this illness?

Correct Answer is D

Explanation

The nurse is caring for a client with lupus and is reviewing the medication list. Which of the following prescriptions would not correlate to this illness?

Correct Answer is A

Explanation

The nurse is caring for a client with hyperparathyroidism. Which of the following orders from the healthcare provider can be expected to reduce the client's overproduction of calcium? (Select all that apply)

A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?

A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

The nurse is educating a client about Parkinson’s disease. Which of the following statements would require further teaching?

The nurse is caring for a client who is admitted with a diagnosis of a thyroid storm. Which of the following orders would the nurse question?

During thyroid surgery, the client's parathyroid glands have been damaged. Which condition does the nurse expect the client to develop?

The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?