The nurse is reviewing data of a client receiving propylthiouracil (PTU). Which information indicates to the nurse that the client may be experiencing a side effect of this medication?

Neutropenia

Hyperglycemia

Polyuria

Muscle cramps

Answer and Explanation

The Correct Answer is A

Choice A reason: Neutropenia, a decrease in neutrophils, is a known side effect of propylthiouracil (PTU) due to its impact on bone marrow and white blood cell production.

Choice B reason: Hyperglycemia is not a typical side effect of PTU; it is more commonly associated with medications affecting blood sugar levels.

Choice C reason: Polyuria, or excessive urination, is not a common side effect of PTU and is more often related to conditions affecting kidney function or blood glucose levels.

Choice D reason: Muscle cramps are not a direct side effect of PTU; they can be associated with various conditions, including electrolyte imbalances.

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Correct Answer is C

Explanation

Choice A reason: An oral temperature of 99.8°F (37.7°C) post-operatively may not be unusual and does not necessarily indicate a complication.

Choice B reason: A post-operative hemoglobin of 10.9 g/dL is slightly below the normal range but may be expected after surgery due to blood loss.

Choice C reason: A client reporting a pressure sensation at the incision site could indicate bleeding or swelling under the incision, which can be a sign of a hematoma, a serious complication that needs immediate attention.

Choice D reason: Pain at the incision site is expected post-operatively and can be managed with pain relief measures.

A. A 50-year-old woman who had a thyroidectomy. B. A 49-year-old man who works in a pesticide factory. C. A 25-year-old woman with thyroid nodules. D. A 71-year-old man with vomiting secondary to influenza.

Correct Answer is A

Explanation

Choice A reason: A thyroidectomy, which is the surgical removal of the thyroid gland, directly leads to hypothyroidism because the body can no longer produce thyroid hormones. This client is at the greatest risk of developing hypothyroidism.

Choice B reason: While exposure to certain chemicals in pesticides can be a risk factor for thyroid dysfunction, it does not pose as immediate a risk as the removal of the thyroid gland itself.

Choice C reason: Thyroid nodules can be associated with thyroid dysfunction, but not all nodules result in hypothyroidism, and many are benign and asymptomatic.

Choice D reason: Vomiting secondary to influenza is not directly related to the development of hypothyroidism.

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The nurse is reviewing data of a client receiving propylthiouracil (PTU). Which information indicates to the nurse that the client may be experiencing a side effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has just returned to the unit following a thyroidectomy. Which assessment finding is a priority for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

The nurse practitioner is assessing clients for their risk of developing hypothyroidism. Which of these clients would the nurse consider at greatest risk?

Correct Answer is A

Explanation

The nurse is admitting a client with a thyroid disorder who presents with periorbital edema, cold intolerance, and weight gain. Which intervention should the nurse include in this client's plan of care?

Deep brain stimulation has been ordered for a client with Parkinson's disease. The client asks the nurse how this treatment will help. What is the nurse's best response?

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Which client does the nurse identify as having the greatest risk for the development of sepsis?

A client's arterial blood gas (ABG) reads: pH 7.18, PaCO2 54 mm Hg, HCO3 26 mEq/L. What condition does the nurse recognize may contribute to the development of this result? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?