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Author Question: The patient is 8 weeks pregnant and requires an antithyroid medication. The nurse identifies what ... (Read 18 times)

panfilo

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on: Jul 23, 2018
The patient is 8 weeks pregnant and requires an antithyroid medication. The nurse identifies what drug as the drug of choice for this patient?
 
  A) Propylthiouracil
  B) Radioactive iodine
  C) Alendronate
  D) Methimazole

Question 2

The patient is admitted to the acute care facility with a diagnosis of acute renal failure.
 
  While collecting the nursing history the patient reveals he was taking Pravastatin to reduce lipid levels and enjoyed a glass of grapefruit juice every morning. The patient complains of muscle pain. What does the nurse suspect caused this patient's renal failure? A) Gastric ulceration
  B) Rhabdomyolysis
  C) Congestive heart failure
  D) Drug Toxicity


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ASDFGJLO

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

A
Feedback:
If an antithyroid drug is essential during pregnancy, propylthiouracil (PTU) is the drug of choice because it is less likely to cross the placenta and cause problems for the fetus. Radioactive agents should not be used. Bisphosphonates should be used during pregnancy only if the benefit to the mother clearly outweighs the potential risk to the fetus. Methimazole is an antithyroid medication but would not be the drug of choice for the pregnant woman.

Answer to Question 2

D
Feedback:
Grapefruit juice increases the risks of toxicity and rhabdomyolysis. However, toxicity would cause liver damage, whereas the breakdown of muscle that occurs with rhabdomyolysis results in kidney damage and acute renal failure. The patient identified no symptoms related to gastric ulceration or congestive heart failure.


panfilo

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Reply #2 on: Jul 23, 2018
TY


ASDFGJLO

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Reply #3 on: Jul 23, 2018
You're welcome


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