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A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should
the nurse instruct the client to report promptly to the healthcare provider?
A) Tinnitus and dizziness.
B) Tachycardia and chest pain.
C) Dry skin and intolerance to cold.
D) Weight gain and increased appetite. - Correct Answer:B. Thyroid replacement
hormone increases the metabolic rate of all tissues, so common signs and symptoms of
toxicity include tachycardia and chest pain (B). (A, C, and D) do not indicate a thyroid
hormone toxicity.
A category X drug is prescribed for a young adult female client. Which instruction is
most important for the nurse to teach this client?
A) Use a reliable form of birth control.
B) Avoid exposure to ultra violet light.
C) Refuse this medication if planning pregnancy.
D) Abstain from intercourse while on this drug. - Correct Answer:A.
Drugs classified in the category X place a client who is in the first trimester of pregnancy
at risk for teratogenesis, so women in the childbearing years should be counseled to
use a reliable form of birth control (A) during drug therapy. (B) is not a specific
precaution with Category X drugs. The client should be encouraged to discuss plans for
pregnancy with the healthcare provider, so a safer alternative prescription (C) can be
provided if pregnancy occurs. Although the risk of birth defects during pregnancy
explains the restriction of these drugs during pregnancy, (D) is not indicated.
A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should
the nurse provide?
A. Yes it is an oral insulin and has the same actions and properties as intermediate
insulin
B. Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same
manner as insulin
C. No it is not an oral insulin and can be used only when some beta cell function is
present
D. No, it is not an oral insulin, but it is effective for those who are resistant to injectable
insulins - Correct Answer:C
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