FULL QUESTIONS AND VERIFIED 100%
CORRECT ANSWERS GRADED A+
◉ Hyperthyroidism- medication administration. Answer:
Propylthiouracil (PTU) blocks the conversion of T4 to T3, which
decreases hormone synthesis, and Lugol's solution (iodine, potassium
iodide, together with distilled water) provides iodine needed in the
thyroid hormone molecule. When an anti-thyroid drug & iodine should
be administered at least 1 hour before the PTU, which enhances the
therapeutic effect of both drugs.
◉ Spironolactone- Heart failure. Answer: Hyperaldosteronism, a disease
in which the adrenal glands make too much aldosterone, causing high
blood pressure & low potassium levels, & spironolactone is used to
spare potassium. The nurse should therefore instruct the client to limit
foods that are high in potassium.
◉ Topical Antifungal. Answer: The nurse should instruct the client to
obtain a prescription for an antifungal medication to treat their toenail
fungal infection.
◉ Gout-medications. Answer: Uricosuric drugs promote the excretion of
uric acid, & are used primarily in the treatment of chronic gout.
, ◉ Glaucoma miotics- side effects. Answer: Miotics cause pupillary
constriction. This reduces the eyes ability to dilate at night, & decreases
night vision.
◉ Bulk-Forming Laxative teaching. Answer: The nurse should inform
the client that bulk-forming laxatives should be mixed with a glass of
water just prior to administration & follow with an additional glass of
water to prevent fecal impaction.
◉ COPD- discharge medication. Answer: Guaifenesin is a mucolytic
prescribed to liquefy secretions. The nurse should review guaifenesin
with the client to facilitate expectoration of thick mucus associated with
COPD.
◉ Acetylcysteine evaluation. Answer: To determine if the medication is
having the desired effect, the nurse should ask the client about the
amount of phlegm production, as acetylcysteine is a mucolytic agent.
The desired action is to liquify thick secretions, so they can be removed
through coughing or suctioning.
◉ ARBs- assessment. Answer: ARBs produce vasodilation by blocking
angiotensin II at its receptors on the peripheral vasculature causing a
decrease in blood pressure & an increased risk for orthostatic
hypotension, which places the client at an increased risk for falls.