The nurse provides teaching for the client who is prescribed ...

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The nurse provides teaching for the client who is prescribed medication for hypothyroidism. Which client response indicates the client understands the instructions?
 
  a. This medication probably will help me gain weight.
  b. I should only take my medication when the resting pulse over 100 bpm.
  c. It may take several weeks before I reach a euthroid state.
  d. Once I feel better, I can take my medication just when I need it.

Question 2

When teaching a client receiving propylthiouracil (PTU), which client response indicates a need for further instruction?
 
  a. I should let my doctor know right away if I get flu-like symptoms.
  b. I should have my platelet count monitored.
  c. I should dilute my medication and drink it through a straw.
  d. I will be sure to keep all of my follow-up appointments.

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Answer to Question 1

ANS: C

Feedback
A Incorrect: This indicates a need for further instruction--client will lose weight.
B Incorrect: This indicates a need for further instruction--resting pulse should be < 100 bpm.
C Correct: This response indicates client understanding of the condition and therapy.
D Incorrect: This indicates a need for further instruction.

Answer to Question 2

ANS: C

Feedback
A Incorrect: This demonstrates client understanding, as this medication can cause agranulocytosis.
B Incorrect: This demonstrates client understanding, as this medication can cause hypoprothrombinemia .
C Correct: This is appropriate for iodine solutions, but not PTU.
D Incorrect: This demonstrates client understanding, as the client's thyroid condition should be monitored.

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TY

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