« previous next »

Author Question: Six months ago an elderly patient was diagnosed with subclinical hypothyroidism. Today the patient ... (Read 95 times)

Sportsfan2111

  • Hero Member
  • *****
  • Posts: 585
on: Jul 11, 2018
Six months ago an elderly patient was diagnosed with subclinical hypothyroidism. Today the patient returns and has a TSH of 11.0 and complains of fatigue.
 
  He has taken Synthroid 25 mcg daily as prescribed. What is the best course of action for the nurse practitioner?
  A. Assess further for a cause of fatigue
  B. Double the dose of Synthroid
  C. Discontinue the Synthroid
  D. Prescribe Liotrix (T3 & T4 combination)

Question 2

A 62-year-old female complains of fatigue and lack of energy. Constipation has increased and the patient has gained ten pounds in the past 3 months.
 
  Depression is denied although the patient reports a lack of interest in usual hobbies. Vital signs are within normal limits and the patient's skin is dry and cool. Which of the following must be included in the differential?
  A. Hyperthyroidism
  B. Hypothyroidism
  C. Hyperparathyroidism
  D. Grave's disease


peter

  • Sr. Member
  • ****
  • Posts: 330
Reply #1 on: Jul 11, 2018
Answer to Question 1

B

Answer to Question 2

B


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

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?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

More than 30% of American adults, and about 12% of children utilize health care approaches that were developed outside of conventional medicine.

Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u
Pigmented bands in nail of patient with dark skin Pigmented bands in nail of patient with dark skin
A hearing-impaired patient using an interpreter. A hearing-impaired patient using an interpreter.
An example of a medical history sheet to list patient problems. An example of a medical history sheet to list patient problems.
ROM exercises on a patient’s wrist: ulnar deviation. ROM exercises on a patient’s wrist: ulnar deviation.
Most elderly enjoy maintaining relationship with their grandkids Most elderly enjoy maintaining relationship with their grandkids
Video: Protein Secondary and Tertiary Structures - Animation

For a complete list of videos, visit our video library