Author Question: The nurse notes that several clients prescribed supplemental thyroid hormone are all receiving ... (Read 23 times)

Arii_bell · **on:** Jul 23, 2018

The nurse notes that several clients prescribed supplemental thyroid hormone are all receiving different doses of the same drug. The nurse recognizes that this variation is mostly driven by:

1. the client's age and ethnicity.
2. the client's psychological status and acceptance of hormone therapy.
3. the number and sensitivity of the individual client's tissue receptors.
4. the client's height and weight.

Question 2

The nurse is evaluating a client who is receiving a thyroid hormone supplement. The client's TSH level has gone down, and the T3 and T4 levels have increased. The nurse knows that:

1. The TSH, T3, and T4 all should have increased.
2. A decrease in the TSH is undesirable.
3. An increase in the T3 and T4 is undesirable.
4. A decrease in the TSH is desirable.

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

Answer to Question 1

Correct Answer: 3
Rationale 1: Dose variation is not based on age or ethnicity.
Rationale 2: Dose variation is not based on psychological status or acceptance of hormone therapy.
Rationale 3: The primary reasons for dose variations are the differences in the number of receptors and in their sensitivity. Each client presents a therapeutic challenge.
Rationale 4: Height and weight are less important than another factor.
Global Rationale: The primary reasons for dose variations are the differences in the number of receptors and in their sensitivity. Each client presents a therapeutic challenge. Age, ethnicity, psychological status, acceptance of hormone therapy, and height and weight are less important than individual differences in receptors.

Answer to Question 2

Correct Answer: 4
Rationale 1: All three levels should not increase.
Rationale 2: The decrease in the TSH is desirable.
Rationale 3: The increase in the T3 and T4 is desirable, as they indicate adequate or more than adequate levels.
Rationale 4: The decrease in the TSH is desirable, and is the result of negative feedback to the hypothalamus from the thyroid gland.
Global Rationale: The decrease in the TSH is desirable, and is the result of negative feedback to the hypothalamus from the thyroid gland. The increase in the T3 and T4 is desirable, as they indicate adequate or more than adequate levels.