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Author Question: A nurse manages the care of a patient starting treatment with propylthiouracil (PTU) for ... (Read 25 times)

bio_gurl

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on: Jul 23, 2018
A nurse manages the care of a patient starting treatment with propylthiouracil (PTU) for hyperthyroidism.
 
  In addition to the clinical response and thyroid function studies, the nurse would be most concerned by which of the following laboratory test results? a. Serum sodium level of 135 mEq/L
  b. Serum potassium level of 3.5 mEq/L
  c. Serum chloride level of 102 mEq/L
  d. Serum white blood cell count of 13,000/mm3

Question 2

A patient who has been taking nitrofurantoin for a UTI telephones a nurse and describes the recent onset of numbness and tingling in the fingers and toes. Select the nurse's best action.
 
  a. Have the patient stop the drug and speak with the provider about an alternative.
  b. Continue the drug and have the patient keep the hands and feet warmer than usual.
  c. Instruct the patient to increase the dose of B vitamins.
  d. Instruct the patient to keep the extremities moving to improve circulation.


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aadams68

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
An elevated WBC count could indicate infection and the presence of agranulocytosis, a side ef-fect that can occur in patients who take PTU.
The sodium, potassium, and chloride levels are normal.

Answer to Question 2

a


bio_gurl

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

skipfourms123

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Reply 3 on: Yesterday
Excellent

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