Author Question: The nurse instructs a client with hypothyroidism about medications that accelerate the metabolism of ... (Read 37 times)

Brittanyd9008 · **on:** Jul 23, 2018

The nurse instructs a client with hypothyroidism about medications that accelerate the metabolism of levothyroxine, including:

1. warfarin.
2. phenytoin.
3. digoxin.
4. calcium.

Question 2

The nurse is concerned that a client is developing myxedema coma after assessing which symptoms?

Standard Text: Select all that apply.
1. Puffy face and eyes
2. Tachycardia
3. Hypoglycemia
4. Hyperthermia
5. Hypoventilation

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

Answer to Question 1

Correct Answer: 2
Rationale 1: Warfarin does not accelerate the metabolism of levothyroxine.
Rationale 2: Phenytoin accelerates the metabolism of levothyroxine.
Rationale 3: Antacids do not accelerate the metabolism of levothyroxine.
Rationale 4: Calcium does not accelerate the metabolism of levothyroxine.
Global Rationale: Phenytoin accelerates the metabolism of levothyroxine. Levothyroxine changes the metabolism of warfarin. Calcium and digoxin reduce the effects of levothyroxine.

Answer to Question 2

Correct Answer: 1,3,5
Rationale 1: The manifestations of myxedema coma include edema of the face and eyes.
Rationale 2: Tachycardia is not a manifestation of myxedema coma.
Rationale 3: The manifestations of myxedema coma include hypoglycemia.
Rationale 4: Hyperthermia is not a manifestation of myxedema coma.
Rationale 5: The manifestations of myxedema coma include hypoventilation.
Global Rationale: Findings associated with myxedema coma include edema of the face and eyes, hypoglycemia, and hypoventilation. Tachycardia and hyperthermia are more related to hyperthyroidism.