NCLEX-PN

Category - Pharmacological Therapies

A nurse is assigned to monitor a client with hyperthyroidism who is prescribed methimazole (Tapazole). When caring for the client, which assessment findings may indicate a need for increased dose of methimazole?
  1. Increasing body temperature, heat intolerance
  2. Constipation, lethargy
  3. Decreasing heart rate, weight gain
  4. Weakness, dry skin
Explanation
Answer: A - An increasing temperature and heat intolerance are signs of increased metabolic rate due to hyperthyroidism, necessitating a possible increase of the medication dose. The other findings are common findings in hypothyroidism.
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