Which pharmacologic therapy does the nurse anticipate administering to a client who is experiencing acute thyrotoxicosis?

Acetaminophen

Furosemide

Ketoconazole

Levothyroxine

Answer and Explanation

The Correct Answer is C

A. Acetaminophen: While acetaminophen can help manage fever, it is not a primary treatment for acute thyrotoxicosis. The management of acute thyrotoxicosis involves addressing the overproduction of thyroid hormones, not just symptom relief.
B. Furosemide: Furosemide is a diuretic used for fluid retention and hypertension, not for managing thyrotoxicosis. It does not address the underlying cause of acute thyrotoxicosis.
C. Ketoconazole: Ketoconazole is an anti-fungal medication that also has the effect of inhibiting cortisol synthesis and can be used to treat acute thyrotoxicosis by reducing the production of thyroid hormones. It is used as part of a broader treatment plan.
D. Levothyroxine: Levothyroxine is used to treat hypothyroidism by providing synthetic thyroid hormone. It is not used to treat thyrotoxicosis, which involves excessive thyroid hormone levels, not deficiency.

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Correct Answer is ["75"]

Explanation

Step 1: Determine the total infusion time in hours
• There are 24 hours in a day.
Step 2: Calculate the infusion rate
• Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hr)
• Infusion rate = 1800 mL / 24 hr = 75 mL/hr
Therefore, the nurse should set the IV pump to deliver 75 mL/hr.

A. "You may need to repeat this therapy again in three weeks if the first dose doesn't achieve optimal results." B. "Avoid being close to pregnant women and children for 7 days after your treatment." C. "You may need to begin corticosteroid replacement therapy after this treatment." D. "The purpose of this therapy is to increase your levels of thyroid hormone."

Correct Answer is B

Explanation

A. "You may need to repeat this therapy again in three weeks if the first dose doesn't achieve optimal results": Radioactive iodine therapy may require additional doses, but this is not determined by a set timeframe such as three weeks. The need for additional therapy is based on the individual’s response and thyroid function tests.
B. "Avoid being close to pregnant women and children for 7 days after your treatment": This is correct as radioactive iodine therapy can emit radiation, and avoiding close contact with vulnerable populations such as pregnant women and children helps minimize their exposure to radiation.
C. "You may need to begin corticosteroid replacement therapy after this treatment": This is incorrect because corticosteroid replacement is not typically required after radioactive iodine therapy for Graves' disease. The treatment primarily targets the thyroid gland.
D. "The purpose of this therapy is to increase your levels of thyroid hormone": This is incorrect. The purpose of radioactive iodine therapy is to reduce thyroid hormone production by destroying thyroid tissue, which helps to manage hyperthyroidism in Graves' disease.

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Which pharmacologic therapy does the nurse anticipate administering to a client who is experiencing acute thyrotoxicosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["75"]

Explanation

A nurse is providing education to a client who has Graves' disease and who will be returning home after receiving their first dose of radioactive iodine therapy. Which of the following information should the nurse include?

Correct Answer is B

Explanation

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