Abrams Chapter 42

A child is born with congenital hypothyroidism. What element was lacking in the mother's diet during pregnancy?

• Potassium

• Iodine

• Sodium

• Magnesium

A client is diagnosed with hyponatremia and hypoglycemia and is currently experiencing lactic acidosis. What condition is most consistent with this presentation?

• Myxedema coma

• Psychotic depression

• Cretinism

• Congenital hypothyroidism

The nurse is providing education to a client who has been newly prescribed propylthiouracil. What is the drug's primary mode of action?

• Destroys part of the thyroid gland

• Inhibits production of thyroid hormone

• Suppresses the anterior pituitary hormones

• Stimulates the thyroid cells

A client diagnosed with hypothyroidism is started on levothyroxine. How should the client take the medication?

• With milk or food

• Do not exercise while taking it

• On an empty stomach

A client diagnosed with myxedema taking ibuprofen for knee pain is at increased risk for what adverse effect?

• Nephrotoxicity

• Pulmonary congestion

• Tachycardia

• Apnea

A client scheduled for thyroidectomy for thyroid cancer should receive which preoperative medication?

• Sodium iodide131

• Methimazole

• Propylthiouracil

• Propranolol

What expectorant is sometimes prescribed for hyperthyroidism?

• Propylthiouracil

• Methimazole

• Saturated solution of potassium iodide

• Sodium iodide131I

Which medication destroys the thyroid gland?

• Propylthiouracil

• Methimazole

• Saturated solution of potassium iodide

• Sodium iodide131I

What warrants tapering/discontinuation of propranolol in a client treated for hyperthyroidism?

• Hyperthyroidism

• Hypertension

• Angina pectoris

• Euthyroid state

When is levothyroxine dosage typically increased for hypothyroidism patients?

• Every 3 to 5 days

• Weekly

• Every 2 weeks

• Monthly