Author Question: For which client would the nurse question the use of levothyroxine (Synthroid)? 1. A child under ... (Read 57 times)

urbanoutfitters · **on:** Jul 23, 2018

For which client would the nurse question the use of levothyroxine (Synthroid)?

1. A child under 2
2. A pregnant client
3. A client allergic to shellfish
4. A client allergic to aspirin

Question 2

A client is receiving thyroid hormone replacement therapy which increases the number of beta1- and beta2-adrenergic receptors. The nurse knows that this increase in receptors will make the receptors more responsive to which neurotransmitters?

Standard Text: Select all that apply.
1. Norepinephrine
2. Epinephrine
3. Dopamine
4. Serotonin
5. Melatonin

ebonylittles · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Children with cretinism need thyroid replacement.
Rationale 2: A pregnant client might need thyroid replacement.
Rationale 3: Shellfish allergy is important to identify in the client allergic to iodine.
Rationale 4: Synthroid can cause allergic reaction in clients sensitive to aspirin.
Global Rationale: Synthroid can cause allergic reaction in clients sensitive to aspirin. Children with cretinism need thyroid replacement. A pregnant client might need thyroid replacement. Shellfish allergy is important to identify in the client allergic to iodine.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Thyroid hormone increases the number of beta1- and beta2-adrenergic receptors and enhances their affinity to catecholamines such as norepinephrine.
Rationale 2: Thyroid hormone increases the number of beta1- and beta2-adrenergic receptors and enhances their affinity to catecholamines such as epinephrine.
Rationale 3: Thyroid hormone increases the number of beta1- and beta2-adrenergic receptors and enhances their affinity to catecholamines such as dopamine.
Rationale 4: Thyroid hormone does not make receptors more responsive to serotonin.
Rationale 5: Thyroid hormone does not make receptors more responsive to melatonin.
Global Rationale: Thyroid hormone increases the number of beta1- and beta2-adrenergic receptors and enhances their affinity to catecholamines such as norepinephrine, epinephrine, and dopamine. This therapy does not make receptors more responsive to serotonin or melatonin.