A patient receiving methimazole reports fever and a severe sore throat. Which action should the nurse take first?
Correct answer: B. Report the symptoms promptly to the prescriber
- A. Advise extra fluids and continue the medicine
- B. Report the symptoms promptly to the prescriber
- C. Give the next dose with an antacid
- D. Reassure the patient that this is an expected effect
Explanation
Fever and sore throat may indicate agranulocytosis, a serious adverse effect of methimazole that requires prompt evaluation and a blood count. These symptoms should not be dismissed as an expected minor reaction.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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