This topic contains a solution. Click here to go to the answer

Author Question: The nurse is admitting a patient to the unit. While obtaining a health history from the spouse, the ... (Read 49 times)

yoroshambo

  • Hero Member
  • *****
  • Posts: 566
The nurse is admitting a patient to the unit. While obtaining a health history from the spouse, the nurse is notified that the patient takes 2.5 mg of warfarin (Coumadin) daily and has been taking levothyroxine (Levothroid) for 3 weeks.
 
  The nurse calls the prescriber to order lab tests, because the nurse knows that warfarin (Coumadin) taken concurrently with levothyroxine (Levothroid) may result in which of the following?
  a. Increased levothyroxine (Levothroid) levels
  b. Enhanced warfarin (Coumadin) levels
  c. Decreased warfarin (Coumadin) levels
  d. Decreased levothyroxine (Levothroid) levels

Question 2

An adult patient comes to the clinic complaining of hair loss, fatigue, lethargy, and intolerance to cold. Assessment shows that the patient has brittle hair and a puffy, pale face.
 
  The vital signs are: blood pressure 118/70, heart rate 60, temperature 96.2 F, and respirations 22. The nurse is awaiting the results of laboratory tests that the prescriber has ordered but suspects that the patient has
  a. hypothyroidism.
  b. cretinism.
  c. Graves' disease.
  d. Plummer's disease.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

pallen55

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

ANS: B
Levothyroxine accelerates the degradation of warfarin and enhances its effects; the dose may need to be reduced.
Increased levothyroxine levels and decreased warfarin levels would not be expected.
Decreased levothyroxine levels would not be anticipated.

Answer to Question 2

ANS: A
The signs and symptoms described are consistent with hypothyroidism that has been present for some time, resulting in a severe thyroid deficiency.
Cretinism is hypothyroidism in infancy.
Graves' disease and Plummer's disease are examples of hyperthyroidism (thyroid excess).



yoroshambo

  • Hero Member
  • *****
  • Posts: 566
Both answers were spot on, thank you once again




 

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

During the twentieth century, a variant of the metric system was used in Russia and France in which the base unit of mass was the tonne. Instead of kilograms, this system used millitonnes (mt).

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

For a complete list of videos, visit our video library