« previous next »

Author Question: Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse should ... (Read 99 times)

NguyenJ

  • Hero Member
  • *****
  • Posts: 516
on: Jun 25, 2018
Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse should contact the health care provider before administering levothyroxine (Synthroid)?
 
  a. Increased thyroxine (T4) level
  b. Blood pressure 112/62 mm Hg
  c. Distant and difficult to hear heart sounds
  d. Elevated thyroid stimulating hormone level

Question 2

A patient who had radical neck surgery to remove a malignant tumor developed hypoparathyroidism. The nurse should plan to teach the patient about
 
  a. bisphosphonates to reduce bone demineralization.
  b. calcium supplements to normalize serum calcium levels.
  c. increasing fluid intake to decrease risk for nephrolithiasis.
  d. including whole grains in the diet to prevent constipation.


mirabriestensky

  • Sr. Member
  • ****
  • Posts: 325
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
An increased thyroxine level indicates the levothyroxine dose needs to be decreased. The other data are consistent with hypothyroidism and the nurse should administer the levothyroxine.

Answer to Question 2

ANS: B
Oral calcium supplements are used to maintain the serum calcium in normal range and prevent the complications of hypocalcemia. Whole grain foods decrease calcium absorption and will not be recommended. Bisphosphonates will lower serum calcium levels further by preventing calcium from being reabsorbed from bone. Kidney stones are not a complication of hypoparathyroidism and low calcium levels.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

When working with the patient with impaired hearing, the interpreter needs to direct questions to th When working with the patient with impaired hearing, the interpreter needs to direct questions to th
Taking a Patient’s Oral Temperature with an Electronic Thermometer Taking a Patient’s Oral Temperature with an Electronic Thermometer
PET Scans of a Patient with Parkinsonian Symptoms PET Scans of a Patient with Parkinsonian Symptoms
Flow data for a healthy donor (top panel) and a HIV positive patient. CD3 is a T-cell marker, CD4 is ... Flow data for a healthy donor (top panel) and a HIV positive patient. CD3 is a T-cell marker, CD4 is ...
Jaundice seen in the eyes and the skin of a patient with hepatitis A. Jaundice seen in the eyes and the skin of a patient with hepatitis A.
Ex vivo and in vivo gene therapy for a patient with a liver disorder Ex vivo and in vivo gene therapy for a patient with a liver disorder
Video: How does asthma work?And How do you treat asthma?

For a complete list of videos, visit our video library