Which instruction is the nurse’s priority when informing a patient who is in the first trimester of pregnancy with a low thyroid-stimulating hormone (TSH) level if the patient indicates a preference for herbal therapy?

Which action will the nurse take for a 75-year-old patient who is prescribed a lower dose of levothyroxine for outpatient treatment?

Which action will the nurse plan first after reviewing the patient’s recent data? Patient Information Vital Signs and Patient Data: o Temperature 100.6° F (38.1° C) o Apical pulse at 106 beats/min o Respirations 20 breaths/min o Blood pressure 138/90 mmHg o “I feel nervous. I can’t sleep.” o “I feel flushed.” o “I had episodes of diarrhea.” o “I could eat something.” o “I had pneumonia last month.” Prescribed Treatment and Medications: o Propylthiouracil 100 mg daily orally o Metoprolol 50 mg orally twice a day o High-calorie diet o Bed rest with assistance to ambulate to the bathroom only

Which outcome will the nurse monitor for in a patient who received propylthiouracil therapy for several months?

Which food should a patient avoid while taking antithyroid medications?

Which drug used to treat hypothyroidism is also used to diagnose hyperthyroidism?

Which process is characterized by destruction of the thyroid gland?

Which thyroid preparation, considered the purest form of thyroxine (T4), is the drug of choice for hypothyroidism?

Which genitourinary adverse effect does the nurse expect in the patient who is on therapy with antithyroid medication?

While reading the history and the lab reports of an adult patient, the nurse finds that the patient has decreased metabolic rate, weight gain, and hair loss. Which condition can the nurse interpret from these findings?

The nurse is caring for a patient who has myxedema. The nurse administers a hypothyroid drug and later learns that the drug was improperly mixed and that an increased dose of the drug was administered to the patient. For which symptom would the nurse initially assess?

The nurse is caring for a patient who is taking levothyroxine and warfarin. Which intervention is a priority for the nurse?

A patient receiving propylthiouracil asks the nurse, "How will this medication help relieve my symptoms?" With which would the nurse respond?

The nurse is assessing a pregnant patient in the second trimester who has hyperthyroid activity. Which would the nurse expect the health care provider to order?

The nurse reviews a patient’s laboratory report and notes elevated thyroxin levels. Which condition does the patient have?

A patient with a thyroid disorder states, "I am unable to distinguish between the tastes of different foods." Which medication would the nurse expect is responsible for this condition?

The nurse observes that a patient has dullness of the skin, weight gain, and severe hair loss. Which would the nurse suspect?

The health care provider prescribes radioactive iodine to an adult patient who has thyroid cancer. Which is the reason for prescribing this drug to the patient?

Which assessment finding would the nurse expect in a child who has cretinism?

A patient who has been taking levothyroxine is experiencing weight loss, tremors, and hypertension. Which pharmacokinetic property of levothyroxine is responsible for causing toxic manifestations?

Which symptom is a clinical indicator of Graves’ disease?

A patient receiving propylthiouracil asks the nurse how this medication will help relieve symptoms. Which statement explains the action of the medication?

Which information would the nurse include when teaching a patient with a new prescription for levothyroxine?

The nurse is assessing a patient who has been taking propylthiouracil for the past 2 weeks and has normal thyroid-stimulating hormone (TSH) levels. Which symptom would the nurse primarily monitor the patient for?

While assessing a patient who is receiving levothyroxine therapy, the nurse advises the patient to take the oral dose before breakfast. Which dosage is the patient ordered in the prescription?

Which is a symptom of hypothyroidism?

Which is an adverse effect of thyroid replacement drugs?

Which is an adverse effect of antithyroid medication?

A patient with stage III laryngeal cancer underwent laryngectomy with concurrent removal of the thyroid gland. Which type of hypothyroidism will occur in this case?

During an assessment of a patient with hyperthyroidism, the nurse learns that the patient’s provider has recommended thyroidectomy. Which statement could describe the reason for opting for such treatment for the patient?

The nurse is caring for a patient who has hypothyroidism. The patient is also receiving digitalis therapy. The nurse advises the patient to discuss getting an electrocardiogram (ECG) with the provider. Which reason is given for having an ECG?

A patient with hypothyroidism reports severe sleeping disturbances. Which statement given by the patient is helpful in identifying the reason for the insomnia?

The nurse is assessing an older adult who has been taking liotrix for 6 months. The nurse finds that the patient has anxiety, tremors, and insomnia. Which finding will the nurse interpret from these symptoms?

Which statement describes what the nurse would teach a patient who has a first-time prescription for the antithyroid drug propylthiouracil?

Which patient with a thyroid disorder is considered safe to receive radioactive iodine?

Which prescribed therapy will the nurse clarify with the health care provider for a patient who is scheduled for a radioactive iodine isotope study?

Which concern would the nurse have with this patient’s information on the day of surgery? Admitting Diagnosis: Appendicitis Surgery: Appendectomy Home Medications: Levothyroxine 100 mcg/day orally Current Medications: Levothyroxine 100 mcg/day intravenously in the am Ceftriaxone (50 mg/kg) andmetronidazole (30 mg/kg) intravenous one dose each before surgery Additional Treatment: 0.9% saline 100 mL/hour intravenously Nothing by mouth today Activity as tolerated Complete blood count and serum electrolytes before and after surgery

  

Which action will the nurse take for a patient who is prescribed levothyroxine 100 mg orally daily if the time is 1800 and the patient’s thyroid-stimulating hormone (TSH) is at a high level?

The nurse is assessing a patient who has been prescribed thyroid replacement drugs for the first time. The nurse asks the patient to take the daily medication every morning on an empty stomach. Which is the reason for this instruction?

The nurse is caring for a patient who has hyperthyroidism. The health care provider has prescribed methimazole. Which assessment is a priority?

A patient with hypothyroidism has been taking 50 mg of levothyroxine for 2 years. On reviewing the lab reports, the nurse finds that the patient’s thyroid hormone levels are constantly fluctuating, even though he takes the medication regularly. Which error during the self-administration of the medication may have caused this?

The nurse prepares to administer an initial dose of propylthiouracil to a patient with toxic nodular disease of the thyroid gland. Which baseline patient assessment is a priority for the nurse before the start of therapy?

A health care provider prescribes a drug for a patient who is underweight and shows symptoms of diarrhea, increased appetite, and flushing. Which other drug in the patient’s medication history would be of concern for the nurse?

A patient who has been on propylthiouracil for 2 weeks approaches the nurse for a routine medical checkup. Which is a priority assessment for this patient?

Which instruction is the nurse’s priority when informing a patient who is in the first trimester of pregnancy with a low thyroid-stimulating hormone (TSH) level if the patient indicates a preference for herbal therapy?

  

The nurse is providing prenatal counseling for a patient who has hyperthyroidism and is prescribed methimazole. The nurse instructs the patient to discuss discontinuing the medication with the provider in the event of conception. Which fetal abnormality is the nurse trying to prevent?

A patient who is taking propylthiouracil reports, "It’s been 10 days since I started taking the medication, but my hunger is still not suppressed." Which explanation would the nurse provide?

The nurse is teaching safe administration of medication to a patient who has been prescribed levothyroxine. Which statement would the nurse include in the teaching session?

The nurse is educating a patient who is taking thyroid hormone replacement therapy. Which response given by the patient indicates effective learning?

A patient walks into a clinic shivering and looking depressed and tired. The caregiver reports, "The patient was normal until last month but then suddenly started to gain weight." Further assessment from the primary health care provider shows brittle hair and fingernails. Which medication would the nurse expect in the patient’s prescription?

The nurse is caring for a patient who has just started taking levothyroxine. Which assessment finding is necessary for the nurse to address?

The nurse is taking the history of a female patient who has been prescribed thyroid replacement drugs. The nurse finds that the patient is receiving estrogen supplements as part of hormone replacement therapy. Which possible drug interaction may the nurse anticipate?

The nurse is assessing a patient undergoing levothyroxine therapy. Which symptom makes the nurse suspect excessive thyroid replacement?