49. A client reports unexplained weight loss and palpitations. Assessment findings include: exophthalmos, tachycardia, decreased thyroid-stimulating hormone (TSH), and increased triiodothyronine (T3) and thyroxine (T4). Which treatments would be most appropriate for this client? Select all that apply.
. Levothyroxine (Synthroid).
. Radioactive iodine.
. Propylthiouracil (PTU).
. Methimazole (Tapazole).
. Liothyronine (Cytomel).
Test-Taking Tip
The symptoms are for hyperthyroidism. Therefore, eliminate the drugs that appear to include a thyroid replacement—"thyro" in the name.
Content Area: Adult Health, Endocrine; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
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Answer 1 is incorrect because Synthroid would be ordered for hypothyroidism. Answer 2 is correct because radioactive iodine is an appropriate drug treatment for hyperthyroidism. Answer 3 is correct because PTU is used in the treatment of hyperthyroidism. Answer 4 is correct because Tapazole is an appropriate drug for the treatment of hyperthyroidism. Answer 5 is incorrect because Cytomel is used in the treatment of hypothyroidism.