Which finding for a patient who has hypothyroidism and ...

[NguyenJ]

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]

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.