This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client presents to the physician's office with complaints of worsening hypothyroidism symptoms. ... (Read 80 times)

Engineer

  • Hero Member
  • *****
  • Posts: 527
on: Jul 23, 2018
A client presents to the physician's office with complaints of worsening hypothyroidism symptoms.
 
  When questioned about medication changes, the client tells the nurse that she has recently started taking an antidepressant prescribed by another physician. Which of the following antidepressants can decrease the effectiveness of levothyroxine?
 
  A) Amitriptyline (Elavil)
  B) Quetiapine (Seroquel)
  C) Sertraline (Zoloft)
  D) Fluoxetine (Prozac)
  E) Topiramate (Topamax)

Question 2

A client is diagnosed with hypothyroidism. Which of the following would the nurse expect to assess? Select all that apply.
 
  A) Elevated body temperature
  B) Weight gain
  C) Bradycardia
  D) Hypertension
  E) Sleepiness


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jaygar71

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: C, D
Feedback:
Selective serotonin reuptake inhibitors (SSRIs), like sertraline (Zoloft) and fluoxetine (Prozac), can decrease the effectiveness of levothyroxine, leading to the reappearance of hypothyroidism symptoms in clients previously controlled on a dose of levothyroxine.

Answer to Question 2

Ans: B, C, E
Feedback:
The signs and symptoms of hypothyroidism include decreased metabolism; cold intolerance; low body temperature; weight gain; bradycardia; hypotension; lethargy; sleepiness; pale, cool, dry skin; face appearing puffy; coarse hair; thick, hard nails; heavy menses; fertility problems; and low sperm count.


Engineer

  • Member
  • Posts: 527
Reply 2 on: Jul 23, 2018
Excellent

jomama

  • Member
  • Posts: 346
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

A medical assistant helps the physician with a patient. A medical assistant helps the physician with a patient.
In the past year, about one in five adults in the United States reported symptoms of anxiety ... In the past year, about one in five adults in the United States reported symptoms of anxiety ...
A physician uses a portable electronic tablet to enter patient data while in the examination room. A physician uses a portable electronic tablet to enter patient data while in the examination room.
Injectable Drugs Commonly Stocked in the Medical Office Injectable Drugs Commonly Stocked in the Medical Office
Signs and symptoms of acute glomerulonephritis. Signs and symptoms of acute glomerulonephritis.
Most common symptoms of systemic lupus erythematosus (SLE). Most common symptoms of systemic lupus erythematosus (SLE).
Video: Anatomy and Chemical Makeup of a Single Hair (Animation)

For a complete list of videos, visit our video library