Fairly easy

A patient taking methimazole for hyperthyroidism reports a sore throat and fever. Which action should the nurse take?

Correct answer: B. Report the symptoms promptly to the healthcare provider

  • A. Advise the patient to take the next dose with milk
  • B. Report the symptoms promptly to the healthcare provider
  • C. Reassure the patient that these effects are expected
  • D. Suggest increasing dietary iodine until symptoms improve

Explanation

Fever and sore throat may indicate agranulocytosis, a serious adverse effect of methimazole. The medication may need to be withheld and a blood count checked, so the symptoms require prompt reporting.

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About Endocrine and Diabetes Nursing

Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.

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