Hard

Which statement about propylthiouracil requires the nurse to seek further clarification?

Correct answer: B. I will stop the medicine when my pulse improves

  • A. I will report yellowing of my skin or eyes
  • B. I will stop the medicine when my pulse improves
  • C. I will attend scheduled thyroid blood tests
  • D. I will report unusual bruising or bleeding

Explanation

Propylthiouracil should not be stopped simply because symptoms improve, unless the prescriber gives that instruction. The drug can cause serious liver injury and blood abnormalities, so jaundice, unusual bleeding and laboratory monitoring are important.

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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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