Kaplan NCLEX Practice Question of the Day

A client, diagnosed with Graves disease, is prescribed propylthiouracil (PTU). Which existing client condition causes the nurse to contact the prescribing health care provider before giving the initial dose of PTU?

The client exhibits slurred speech when talking to the nurse.

The client's baseline blood pressure is indicative of hypertension.

The client takes an anticoagulant for a diagnosis of atrial fibrillation.

The client requests extra blankets and increased room temperature.

Correct

Incorrect

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The nurse needs to recognize that slurred speech is a severe symptom of hypothyroidism, and is not related to Graves disease.
The nurse needs to be aware that levothyroxine is contraindicated for clients with hypertension who are being treated for hypothyroidism. This drug is not prescribed for a client with hyperthyroidism due to Graves disease.
CORRECT - The nurse needs to recognize that Graves disease is a condition manifested by hyperthyroidism, which is treated with propylthiouracil (PTU). PTU increases the action of anticoagulant drugs and is contraindicated in a client with atrial fibrillation being treated with an anticoagulant.
The nurse needs to recognize that the client's request for extra blankets and increased room temperature is indicative of intolerance to a cold environment. Cold intolerance is a manifestation of hypothyroidism and is not related to Graves disease.

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