« previous next »

Author Question: Six months ago an elderly patient was diagnosed with subclinical hypothyroidism. Today the patient ... (Read 97 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?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

The types of cancer that alpha interferons are used to treat include hairy cell leukemia, melanoma, follicular non-Hodgkin's lymphoma, and AIDS-related Kaposi's sarcoma.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f
Building competency in patient centered care Building competency in patient centered care
Health care - patient-centered Health care - patient-centered
Fractures are diagnosed based on an X-ray of the broken bone. Shown here: a comminuted fracture of ... Fractures are diagnosed based on an X-ray of the broken bone. Shown here: a comminuted fracture of ...
Inspecting a patient’s ear during a physical examination. Inspecting a patient’s ear during a physical examination.
Instructing a Patient on Breast Self-Examination Instructing a Patient on Breast Self-Examination
Video: Stroke volume - afterload definition & hypertension

For a complete list of videos, visit our video library