Final answer:
A nurse should monitor a client with hyperthyroidism taking propylthiouracil for a sore throat, as this can indicate a serious adverse effect like agranulocytosis. While manifestations such as urinary retention, a metallic taste, and mania are not commonly associated with propylthiouracil, a sore throat requires immediate attention.
Step-by-step explanation:
When monitoring a client with hyperthyroidism who has a new prescription for propylthiouracil, a nurse should be attentive to various potential adverse effects of this medication. One such effect that requires prompt attention is a sore throat, which could indicate agranulocytosis, a serious and potentially life-threatening condition where the white blood cell count is extremely low.
While manifestations such as a metallic taste, mania, and urinary retention may occur with various conditions or medications, they are not commonly associated with the adverse effects of propylthiouracil in the treatment of hyperthyroidism. Instead, these symptoms are more indicative of other health issues or medication side effects.
Propylthiouracil is an anti-thyroid medication used to decrease the production of thyroid hormones in the case of an overactive thyroid gland, as seen in conditions such as Graves' disease. It is essential that patients taking this medication are regularly monitored for signs of adverse effects, including a sore throat, which may necessitate immediate medical intervention.