Question: A nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of:
1. Myxedema
2. Graves' disease
3. Addison's disease
4. Cushing's syndrome
Rationale: Propylthiouracil (PTU) inhibits thyroid hormone synthesis and is used to treat hyperthyroidism, or Graves' disease. Myxedema indicates hypothyroidism. Cushing's syndrome and Addison's disease are disorders related to adrenal function.
Test-Taking Strategy: Use the process of elimination and knowledge regarding the action of the medication and treatment measures for Graves' disease to answer the question. Remember that propylthiouracil is used to treat Graves' disease. Review this medication and Graves' disease if you had difficulty with this question.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology
References: Hodgson, B., & Kizior, R. (2010). Saunders nursing drug handbook 2010 (p. 957). St. Louis: Saunders.
Lehne, R. (2010). Pharmacology for nursing care (7th ed., p. 699). St. Louis: Saunders.
This week’s NCLEX exam practice question came from:
Silvestri: Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition, Chapter 55, Page 686, Question609
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