C HAPTER 31: T HYROID AND A NTITHYROID
D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A 19-year-old student was diagnosed with hypothyroidism and has started
thyroid replacement therapy with levothyroxine. After 1 week, she called
the clinic to report that she does not feel better. Which response from the
nurse is correct?
a. “It will probabl y require surgery for a cure to happen. ”
b. “The full therapeutic effects may not occur for several weeks. ”
c. “Is it possible that you did not take your medication as instructed? ”
d. “Let’s review your diet; it may be causing absorption problems. ”
ANS: B
Patients need to understand that it may take several weeks to see the
full therapeutic effects of thyroid drugs. The other options are
incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Evaluation
MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
2. A patient, newl y diagnosed with hypothyroidism, has received a
prescription for thyroid replacement therapy. The nurse will instruct the
patient to take this medication at which time of day?
a. In the morning
, b. With the noon meal
c. With the evening meal
d. At bedtime
ANS: A
If possible, it is best to administer thyroid drugs taken once dail y in
the morning so as to decrease the likelih ood of insomnia that may
result from evening dosing.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. When reviewing the laboratory values of a patient who is taking
antithyroid drugs, the nurse will monitor for which adverse effect?
a. Decreased glucose levels
b. Decreased white blood cell count
c. Increased red blood cell count
d. Increased platelet count
ANS: B
Antithyroid drugs may cause bone marrow supp ression, resulting in
agranulocytosis, leukopenia, thrombocytopenia, and other problems.
The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Evaluation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A 19-year-old student was diagnosed with hypothyroidism and has started
thyroid replacement therapy with levothyroxine. After 1 week, she called
the clinic to report that she does not feel better. Which response from the
nurse is correct?
a. “It will probabl y require surgery for a cure to happen. ”
b. “The full therapeutic effects may not occur for several weeks. ”
c. “Is it possible that you did not take your medication as instructed? ”
d. “Let’s review your diet; it may be causing absorption problems. ”
ANS: B
Patients need to understand that it may take several weeks to see the
full therapeutic effects of thyroid drugs. The other options are
incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Evaluation
MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
2. A patient, newl y diagnosed with hypothyroidism, has received a
prescription for thyroid replacement therapy. The nurse will instruct the
patient to take this medication at which time of day?
a. In the morning
, b. With the noon meal
c. With the evening meal
d. At bedtime
ANS: A
If possible, it is best to administer thyroid drugs taken once dail y in
the morning so as to decrease the likelih ood of insomnia that may
result from evening dosing.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. When reviewing the laboratory values of a patient who is taking
antithyroid drugs, the nurse will monitor for which adverse effect?
a. Decreased glucose levels
b. Decreased white blood cell count
c. Increased red blood cell count
d. Increased platelet count
ANS: B
Antithyroid drugs may cause bone marrow supp ression, resulting in
agranulocytosis, leukopenia, thrombocytopenia, and other problems.
The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Evaluation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
