This topic contains a solution. Click here to go to the answer

Author Question: The nurse is admitting a patient to the unit. While obtaining a health history from the spouse, the ... (Read 87 times)

yoroshambo

  • Hero Member
  • *****
  • Posts: 566
The nurse is admitting a patient to the unit. While obtaining a health history from the spouse, the nurse is notified that the patient takes 2.5 mg of warfarin (Coumadin) daily and has been taking levothyroxine (Levothroid) for 3 weeks.
 
  The nurse calls the prescriber to order lab tests, because the nurse knows that warfarin (Coumadin) taken concurrently with levothyroxine (Levothroid) may result in which of the following?
  a. Increased levothyroxine (Levothroid) levels
  b. Enhanced warfarin (Coumadin) levels
  c. Decreased warfarin (Coumadin) levels
  d. Decreased levothyroxine (Levothroid) levels

Question 2

An adult patient comes to the clinic complaining of hair loss, fatigue, lethargy, and intolerance to cold. Assessment shows that the patient has brittle hair and a puffy, pale face.
 
  The vital signs are: blood pressure 118/70, heart rate 60, temperature 96.2 F, and respirations 22. The nurse is awaiting the results of laboratory tests that the prescriber has ordered but suspects that the patient has
  a. hypothyroidism.
  b. cretinism.
  c. Graves' disease.
  d. Plummer's disease.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

pallen55

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

ANS: B
Levothyroxine accelerates the degradation of warfarin and enhances its effects; the dose may need to be reduced.
Increased levothyroxine levels and decreased warfarin levels would not be expected.
Decreased levothyroxine levels would not be anticipated.

Answer to Question 2

ANS: A
The signs and symptoms described are consistent with hypothyroidism that has been present for some time, resulting in a severe thyroid deficiency.
Cretinism is hypothyroidism in infancy.
Graves' disease and Plummer's disease are examples of hyperthyroidism (thyroid excess).



yoroshambo

  • Hero Member
  • *****
  • Posts: 566
Both answers were spot on, thank you once again




 

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

According to research, pregnant women tend to eat more if carrying a baby boy. Male fetuses may secrete a chemical that stimulates their mothers to step up her energy intake.

For a complete list of videos, visit our video library