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b.give the well-diluted solution through a straw.c.give the solution on an empty stomach.d.mix the solution with an antacid to reduce gastric irritation.ANS: B
The solution should be diluted and drunk through a straw to avoid staining of teeth.DIF: Cognitive Level: Comprehension REF: 839 OBJ: 1 (theory)TOP: Iodine Solutions: Administration KEY: Nursing Process Step: PlanningMSC: NCLEX: Physiological Integrity: Basic Care and Comfort7. The nurse is reviewing the health history of a patient. Which finding is most linked to the probability of developing Graves disease?a.Smokingb.Long-term use of birth control pillsc.Habitual excessive alcohol consumptiond.Use of herbal remedies, such as St. Johns wortANS: APrimary hyperthyroidism is also known as Graves disease or toxic goiter. Medicationscontaining iodine, such as amiodarone (an antidysrhythmic heart medication), can predispose to hyperthyroidism. In addition, it has been discovered recently that peoplewho smoke have nearly twice the risk of developing hyperthyroidismwhen compared with nonsmokers.DIF: Cognitive Level: Comprehension REF: 839 OBJ: 1 (theory)TOP: Graves Disease: Risk Factors KEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease8. The patient with hyperthyroidism is undergoing ablation therapy with radioactive iodine. The precaution the nurse will employ is to:
a.take radioactive precautions with syringes and bedpans.b.use Standard Precautions only.c.enforce isolation for 3 days.d.wear a mask and eye protectors when caring for patient.ANS: ARadioactive iodine (131I) circulates in the blood and is excreted by the kidneys, so radioactive precautions should be taken with any equipment contaminated with blood or urine.DIF: Cognitive Level: Application REF: 840 OBJ: 1 (theory)TOP: Ablation Therapy: Care KEY: Nursing Process Step: PlanningMSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control9. The physician has prescribed methimazole (Tapazole). When providing education to the patient, which instruction should be included in the teaching?a.The medication can be doubled if the previous dose was missed.b.The medication should be taken on a strict schedule.c.The medication could be replaced by a less expensive generic substitute.
d.The medication can be safely taken by pregnant women.ANS: BAll replacement hormone drugs should be taken on a strict schedule. Doubling up and taking a substitute drug interfere with the effectiveness of the therapy. Pregnant women should not take this drug because of fetal damage.DIF: Cognitive Level: Application REF: 840 OBJ: 1 (theory)TOP: Antithyroid Drugs: Instructions KEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease10.