This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse counsels a patient scheduled for radioactive iodine to treat for Graves' disease. Which ... (Read 83 times)

mpobi80

  • Hero Member
  • *****
  • Posts: 519
on: Jul 23, 2018
A nurse counsels a patient scheduled for radioactive iodine to treat for Graves' disease. Which statement made by the patient best demonstrates understanding?
 
  a. This treatment is more costly than medical management.
  b. The long-term effects may include lifelong hypothyroidism.
  c. The treatment will take effect immediately.
  d. Radioactivity affects all body tissues.

Question 2

A patient is brought to the emergency department by the family. Upon assessment, the prescriber suspects sepsis. Vital signs are: temperature 105.2 F, pulse 132, respirations 26, blood pressure 89/43.
 
  The nurse also documents findings of agitation, tremor, and unresponsiveness. The spouse states that the patient has a history of hyperthyroidism. The nurse should anticipate which of the following interventions? (Select all that apply.)
  a. Administration of high doses of potassium iodide
  b. Administration of propylthiouracil (PTU)
  c. Administration of an angiotensin-converting enzyme (ACE) inhibitor
  d. Administration of a beta blocker
  e. Administration of glucocorticoids
  f. Cooling blankets


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Yixagurpuldink

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Iodine-131 can be used to destroy thyroid tissue in patients with hyperthyroidism; unfortunately, this may cause delayed hypothyroidism because of excessive thyroid damage, a frequent complication with management of Graves' disease.
The treatment is not more costly than medical management.
The treatment may take awhile to be effective.
Radioactivity (the beta particles) affects the thyroid but does not affect other parts of the body.

Answer to Question 2

ANS: A, B, D, E, F
High doses of potassium iodide should be given to suppress release of thyroid hormone. Propylthiouracil is used to suppress thyroid hormone synthesis and peripheral conversion of T4 to T3. A beta blocker should be administered to reduce tachycardia, and glucocorticoids reduce inflammatory responses. Cooling blankets should be used to help bring down the patient's temperature.
Administration of an ACE inhibitor is not an applicable intervention.


mpobi80

  • Member
  • Posts: 519
Reply 2 on: Jul 23, 2018
Wow, this really help

LegendaryAnswers

  • Member
  • Posts: 341
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

Fewer than 10% of babies are born on their exact due dates, 50% are born within 1 week of the due date, and 90% are born within 2 weeks of the date.

Lyme Disease Concept Map Lyme Disease Concept Map
When working with the patient with impaired hearing, the interpreter needs to direct questions to th When working with the patient with impaired hearing, the interpreter needs to direct questions to th
Treating the pregnant patient Treating the pregnant patient
Providing patient education Providing patient education
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct. An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Patient with DiGeorge syndrome. Note low set ears and wide set downward slanting eyes; often these ... Patient with DiGeorge syndrome. Note low set ears and wide set downward slanting eyes; often these ...
Video: Bond types - Atomic structure and basis of bonds

For a complete list of videos, visit our video library