This topic contains a solution. Click here to go to the answer

Author Question: The nurse is admitting a patient to the unit. While obtaining a health history from the spouse, the ... (Read 92 times)

yoroshambo

  • Hero Member
  • *****
  • Posts: 566
The nurse is admitting a patient to the unit. While obtaining a health history from the spouse, the nurse is notified that the patient takes 2.5 mg of warfarin (Coumadin) daily and has been taking levothyroxine (Levothroid) for 3 weeks.
 
  The nurse calls the prescriber to order lab tests, because the nurse knows that warfarin (Coumadin) taken concurrently with levothyroxine (Levothroid) may result in which of the following?
  a. Increased levothyroxine (Levothroid) levels
  b. Enhanced warfarin (Coumadin) levels
  c. Decreased warfarin (Coumadin) levels
  d. Decreased levothyroxine (Levothroid) levels

Question 2

An adult patient comes to the clinic complaining of hair loss, fatigue, lethargy, and intolerance to cold. Assessment shows that the patient has brittle hair and a puffy, pale face.
 
  The vital signs are: blood pressure 118/70, heart rate 60, temperature 96.2 F, and respirations 22. The nurse is awaiting the results of laboratory tests that the prescriber has ordered but suspects that the patient has
  a. hypothyroidism.
  b. cretinism.
  c. Graves' disease.
  d. Plummer's disease.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

pallen55

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

ANS: B
Levothyroxine accelerates the degradation of warfarin and enhances its effects; the dose may need to be reduced.
Increased levothyroxine levels and decreased warfarin levels would not be expected.
Decreased levothyroxine levels would not be anticipated.

Answer to Question 2

ANS: A
The signs and symptoms described are consistent with hypothyroidism that has been present for some time, resulting in a severe thyroid deficiency.
Cretinism is hypothyroidism in infancy.
Graves' disease and Plummer's disease are examples of hyperthyroidism (thyroid excess).



yoroshambo

  • Hero Member
  • *****
  • Posts: 566
Both answers were spot on, thank you once again




 

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

For a complete list of videos, visit our video library