Author Question: The nurse transcribes a new order for liothyronine for a patient diagnosed with hypothyroidism. When ... (Read 24 times)

penguins · **on:** Jul 24, 2018

The nurse transcribes a new order for liothyronine for a patient diagnosed with hypothyroidism. When educating the patient about this medication, the nurse will include that

a. the onset of action is slower than that of levothyroxine.
b. it is safe for patients with cardiovascular disease to take.
c. adverse effects may occur up to 3 weeks after changes in therapy have been initiated.
d. symptoms of adverse effects include tachycardia and weight gain.

Question 2

When assisting with the care of a patient with hyperthyroidism, the nurse will

a. provide a cool environment.
b. anticipate ordering a low-calorie diet.
c. limit daily caffeine intake.
d. encourage intake of bran products.

frogdreck123456 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C
Adverse effects may occur 1 to 3 weeks after changes in therapy have been initiated. Onset of action is more rapid than that of levothyroxine. It is not recommended for patients with cardiovascular disease. Symptoms of adverse effects include bradycardia and weight loss.

Answer to Question 2

ANS: A
For the hyperthyroid individual, the nurse should plan to provide a cool, quiet, structured environment because the patient lacks the ability to respond to change and anxiety-producing situations and has intolerance to heat. The individual with hyperthyroidism is usually ordered on a high-calorie diet of 4000 to 5000 calories per day with balanced nutrients. The individual with hyperthyroidism is to have no caffeine products. Because of the risk for diarrhea, bran products should not be encouraged.