Author Question: The nurse is initiating thyroid hormone therapy for a client. What symptom related to therapy should ... (Read 38 times)

dmcintosh · **on:** Jul 16, 2018

The nurse is initiating thyroid hormone therapy for a client. What symptom related to therapy should the nurse teach the client to report immediately?

A) Nausea
B) Fever
C) Angina
D) Dizziness

Question 2

The nurse is preparing a client who is undergoing ERCP to facilitate the passage of stones in the common bile duct. Which of the following is a teaching point for this client?

A) Tell the client that the procedure will be performed under general anesthesia.
B) Tell the client that oxygen will be given because the endoscope will hinder breathing.
C) Tell the client to avoid aspirin, ibuprofen, or anticoagulants 5 to 7 days before the test.
D) Tell the client that the procedure will take 1 to 2 hours to perform.

shewald78 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

C
Feedback:
The nurse should teach the client signs and symptoms of angina and tell the client to report immediately any complaints of anginal pain, which can occur when thyroid hormone therapy begins. This pain can be the first sign of an MI. A clot may block a portion of the coronary circulation and MI could result from the long period of slowed circulation to the heart muscle.

Answer to Question 2

C
Feedback:
Before the test, the client may be instructed to avoid aspirin, ibuprofen, or anticoagulants for 5 to 7 days because these medications prolong bleeding times and may cause excessive bleeding if tissue is removed during the procedure. A technique called conscious sedation is used for these procedures. The adult client is usually sedated with a short-acting intravenous (IV) analgesic, such as fentanyl (Sublimaze), or a sedative, such as midazolam (Versed). A mouthpiece protects the client's mouth and the endoscope tube, but the endoscope tube will not hinder normal breathing. The procedure takes 15 minutes to 1 hour.