A physician has prescribed desiccated thyroid USP for ...

[crazycityslicker]

A physician has prescribed desiccated thyroid USP for thyroid-stimulating hormone suppression. The client is also taking serotonin reuptake inhibitors to overcome depression.
 
  The nurse would be alert to the development of which of the following due to the interaction of the two drugs?
 
  A) Prolonged bleeding
  B) Decreased effectiveness of the thyroid drug
  C) Increased risk of paresthesias
  D) Increased risk of hypoglycemia

Question 2

The nurse should monitor a client receiving radioactive iodine (131I) for which of the following severe reactions? Select all that apply.
 
  A) Agranulocytosis
  B) Exfoliative dermatitis
  C) Hypoprothrombinemia
  D) Seizures
  E) Stroke

[mcinincha279]

Answer to Question 1

Ans: B
Feedback:
The nurse should monitor for a decreased effectiveness of the thyroid drug as the result of the interaction between desiccated thyroid USP and serotonin reuptake inhibitors. When the client is receiving desiccated thyroid USP with serotonin reuptake inhibitors, there is no increase in the risk of paresthesias, hypoglycemia, or prolonged bleeding. When the client is receiving oral anticoagulants with thyroid hormones, the client is at risk of prolonged bleeding. Increased risk of hypoglycemia occurs when oral hypoglycemics and insulin are administered with thyroid hormones to the client. The nurse should observe for paresthesias as one of the adverse reactions in a client receiving antithyroid drugs.

Answer to Question 2

Ans: A, B, C
Feedback:
The nurse should monitor a client receiving radioactive iodine (131I) for severe reactions including agranulocytosis, exfoliative dermatitis, hypoprothrombinemia, and granulocytopenia.

[crazycityslicker]

Thank you!

[mcinincha279]

Always glad to help...