Author Question: A pregnant client is receiving treatment for hyperthyroidism. Which of the following medications ... (Read 24 times)

notis · **on:** Jun 25, 2018

A pregnant client is receiving treatment for hyperthyroidism. Which of the following medications would the nurse expect to see?

1. Levothyroxine
2. Methimazole
3. Propylthiouracil
4. Radioactive iodine

Question 2

A client is hospitalized with an ongoing fever. The nurse learns that the client has had a recent infection.

Currently the client is restless, diaphoretic, and agitated with the following vital signs: temperature 106F, pulse 114, blood pressure 180/80 mmHg. Which of the following disorders is the client most likely experiencing?
1. Addisonian crisis
2. Goiter
3. Myxedema
4. Thyroid crisis

Ptupou85 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

3
Propylthiouracil (PTU) is the drug of choice for treating hyperthyroidism in a pregnant or breastfeeding client. Radioactive iodine and methimazole are treatments for nonpregnant clients with hyperthyroidism. Levothyroxine is used to treat hypothyroidism.

Answer to Question 2

4
Thyroid crisis is a serious form of hyperthyroidism that is life threatening. It is most likely to occur in persons who have been inadequately treated or undiagnosed. Infection, stress or emotional trauma, pregnancy, and medications may precipitate the event. Myxedema and addisonian crisis would not produce a severe increase in blood pressure. Goiter tends to interfere with swallowing and breathing.