Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo
Pharmacology for Nurses

Chapter 27

Pharmacology for NursesChapter 27

Case Study

1.
b. This client with hyperthyroidism is showing evidence of toxicity to methimazole. Manifestations of methimazole toxicity are similar to those of hypothyroidism and include cold intolerance, weight gain, fatigue, lack of energy, bradycardia, and depression.
2.
d. TSH, T3, and T4 laboratory tests are used to determine hypothyroidism.

Review Questions

1.
c. Symptoms of hyperthyroidism include weight loss, heat intolerance, diarrhea, fine tremor, tachycardia, frequent mood changes, and muscle weakness.
2.
d. Clients with hypothyroidism will have an elevated TSH level.
3.
d. Methimazole is an antithyroid drug used to treat hyperthyroidism.
4.
c. Soy has a food interaction with levothyroxine and can decrease its effectiveness.
5.
c. An increase in energy is a therapeutic effect of levothyroxine.
6.
c. The phosphate level is above the expected reference range. Phosphate levels are increased in clients with hypoparathyroidism.
7.
a. Bone pain, along with muscle weakness and depression, are signs of hyperparathyroidism.
8.
a. Alendronate may cause esophagitis, which can lead to dyspepsia.
9.
b. First, convert 0.275 mg to mcg, 0.275 m g × 1000 m c g / m g = 275 m c g
275 m c g x t a b l e t s (desired dose) = 137 m c g 1 t a b l e t (supply on hand)
137 x = 275 × 1 x = 275 137 x = 2 t a b l e t s .
10.
b. 15 mg divided by three divided doses equals 5 mg each dose.
PreviousNext
Citation/Attribution

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at https://openstax.org/books/pharmacology/pages/1-introduction
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at https://openstax.org/books/pharmacology/pages/1-introduction
Citation information

© May 15, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.