Author Question: A client presents to the physician's office with complaints of worsening hypothyroidism symptoms. ... (Read 111 times)

Engineer · **on:** Jul 23, 2018

A client presents to the physician's office with complaints of worsening hypothyroidism symptoms.

When questioned about medication changes, the client tells the nurse that she has recently started taking an antidepressant prescribed by another physician. Which of the following antidepressants can decrease the effectiveness of levothyroxine?

A) Amitriptyline (Elavil)
B) Quetiapine (Seroquel)
C) Sertraline (Zoloft)
D) Fluoxetine (Prozac)
E) Topiramate (Topamax)

Question 2

A client is diagnosed with hypothyroidism. Which of the following would the nurse expect to assess? Select all that apply.

A) Elevated body temperature
B) Weight gain
C) Bradycardia
D) Hypertension
E) Sleepiness

jaygar71 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C, D
Feedback:
Selective serotonin reuptake inhibitors (SSRIs), like sertraline (Zoloft) and fluoxetine (Prozac), can decrease the effectiveness of levothyroxine, leading to the reappearance of hypothyroidism symptoms in clients previously controlled on a dose of levothyroxine.

Answer to Question 2

Ans: B, C, E
Feedback:
The signs and symptoms of hypothyroidism include decreased metabolism; cold intolerance; low body temperature; weight gain; bradycardia; hypotension; lethargy; sleepiness; pale, cool, dry skin; face appearing puffy; coarse hair; thick, hard nails; heavy menses; fertility problems; and low sperm count.