Chapter 36: Drugs Used to Treat Thyroid Disease Clayton/Willihnganz: Basic Pharmacology for Nurses, 17th Edition questions with 100% correct answers Download for an A+

1. Which medication is used to treat hyperthyroidism? a. Levothyroxine (Synthroid) b. Liotrix (Thyrolar) c. Propylthiouracil (Propacil) d. Liothyronine (Cytomel) ANS: C Propylthiouracil is an antithyroid agent used in the treatment of hyperthyroidism. Levothyroxine, liotrix, and liothyronine are used to treat hypothyroidism. DIF: Cognitive Level: Knowledge REF: Page 577 OBJ: 2 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Hormonal Regulation 2. A patient with a history of heart failure has been diagnosed with hypothyroidism. The drug interaction with glycosides and thyroid replacement therapy will most likely require which change in therapy? a. Decrease in the daily digoxin dosage b. Gradual increase in the daily glycoside dosage c. Inability to begin thyroid replacement therapy because of the underlying heart condition d. Increased thyroid replacement dosage ANS: B If thyroid replacement therapy is started while receiving digoxin, a gradual increase in the glycoside will also be necessary to maintain adequate therapeutic activity. Decreasing the digoxin would put the patient at risk for cardiovascular complications. The two treatments can be coordinated. The thyroid medication does not need to be increased. DIF: Cognitive Level: Comprehension REF: Page 576 OBJ: 5 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety 3. Which nursing diagnosis may be identified for a patient with hyperthyroidism? a. Imbalanced nutrition: more than body requirements b. Constipation c. Disturbed sleep patter