Exam 32: Thyroid and Antithyroid Drugs

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A patient has been taking levothyroxine (Synthroid)for more than a decade for primary hypothyroidism.She tells the nurse that her cousin can get her the same medication in a generic form from a pharmaceutical supply company.What would be best for the nurse to say to the patient?

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D

Which condition may be caused by low levels of thyroid hormone in youth?

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C

The nurse is giving morning medications.The medication administration record has an order for levothyroxine 75 mcg.The drug dispensing cabinet contains levothyroxine tablets in milligrams,not in micrograms.Calculate the milligram equivalent dose of 75 micrograms.

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0.075 mg
There are 1 000 micrograms in 1 milligram.
75mcgxmg=1000mcg1mgx=0.075mg\frac{75 \mathrm{mcg}}{\mathrm{xmg}}=\frac{1000 \mathrm{mcg}}{1 \mathrm{mg}} \mathrm{x}=0.075 \mathrm{mg}

A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid).When the nurse explains that levothyroxine is a synthetic form of the thyroid hormone,the patient states that a more natural form of drug would be personally preferred.What is the nurse's best explanation to the patient for the use of levothyroxine?

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Which are the two thyroid hormones produced by the thyroid gland?

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Which symptoms indicate a too-high dose of thyroid replacement hormone?

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A patient has been diagnosed with primary hypothyroidism. Which statement accurately describes this condition?

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When teaching a patient on antithyroid medication about diet,which direction should be included?

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The nurse is discussing thyroid replacement therapy and establishing treatment goals with a patient.What important adverse effects should the nurse discuss with the patient?

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A patient is taking propylthiouracil for hyperthyroidism and asks the nurse how this medication works. In answer to the patient's question,the nurse tells the patient that propylthiouracil

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A patient has been diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid).After 1 week,the patient tells the nurse that she feels no better.The nurse would best tell the patient that

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Which drugs should be avoided while taking thyroid replacement preparations?

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A patient newly diagnosed with hypothyroidism received a prescription for a thyroid drug.In addition to assessing for hypersensitivity and myocardial infarction,for what should the nurse also assess before administering the thyroid drug?

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