Answer to Question 1
ANS: A
Myxedema patients are sensitive to small doses of sedative hypnotics, anesthetics, and narcotics. Increasing the analgesic would only make the patient feel more lethargic in the morning. The patient should not change the dose of his thyroid medication without consulting his primary health care provider. Any pain medication is likely to have this effect because of the patient's thyroid condition.
Answer to Question 2
ANS: D
Propylthiouracil and methimazole are antithyroid agents that act by blocking the synthesis of T3 and T4 in the thyroid gland. They do not destroy any T3 or T4 already produced, so there is usually a latent period of a few days to 3 weeks before symptoms improve once therapy is started. Antithyroid medications do not block reuptake of hormones, destroy hormones, or increase synthesis of hormone.
The nurse needs to note the source of the patient health history
Photo of the neck of a patient with non-Hodgkin’s lymphoma showing the swelling associated with enla
The nurse cares for the postop client in the postanesthesia care unit (PACU).
ROM exercises on a patient’s wrist: radial deviation.
Instructing a Patient on Breast Self-Examination
Promoting Adherence in the Older Adult Patient