A client has been taking propylthiouracil (PTU) for several ...

[Caiter2013]

A client has been taking propylthiouracil (PTU) for several weeks. Which client statements would the nurse interpret as indicating that the drug is having its desired effects?
 
  1. I am sleeping so much better.
  2. I can't seem to gain any weight no matter how much I eat.
  3. I don't feel as anxious as I once did.
  4. My heart doesn't seem to be racing anymore.
  5. My skin in not bruising as much.

Question 2

A client diagnosed with an inoperable tumor of the adrenal gland is prescribed mitotane (Lysodren). The nurse would attribute which assessment finding as indicating an adverse reaction to the drug?
 
  1. The client reports that food is not appealing.
  2. The client reports joint pain.
  3. The client reports ringing of the ears.
  4. The client reports increasing depression.
  5. The client reports dizziness.

[okolip]

Answer to Question 1

Correct Answer: 1,3,4
Rationale 1: A reduction in insomnia is a desired effect of this drug.
Rationale 2: A desired effect of this drug is that the client will gain weight.
Rationale 3: Reduction of anxiety is a desired effect of this drug.
Rationale 4: A slower pulse rate is a desired effect of this drug.
Rationale 5: Skin bruising is not an effect of hyperthyroidism, so this effect would not be expected.

Answer to Question 2

Correct Answer: 1,4,5
Rationale 1: About 80 of clients started on this drug will report anorexia.
Rationale 2: Joint pain is not an expected adverse effect of this drug.
Rationale 3: This is not an expected effect of this drug.
Rationale 4: About 40 of people taking this drug will experience depression.
Rationale 5: About 40 of the people taking this drug report dizziness.

[Caiter2013]

Excellent

[ryhom]

Great answer, keep it coming