Question

Propylthiouracil and potassium iodide are prescribed for the client with hyperthyroidism. Which statement would the nurse include in the client's plan of care?

A) Administer propylthiouracil and potassium iodide on an empty stomach.
B) Assess the client for signs of infection and bleeding every shift.
C) Stop the medications 2 weeks before thyroid surgery.
D) Discontinue the medications if the heart rate is maintained within the expected range for 48 hours.

Answer 1

The nurse should include in the client's plan of care to assess for signs of infection and bleeding every shift due to the risk of agranulocytosis caused by antithyroid drugs like propylthiouracil. Continuous monitoring is essential to manage any potential complications.

Step-by-step explanation:

When caring for a client with hyperthyroidism who is prescribed propylthiouracil and potassium iodide, a critical piece of the plan of care would be to assess the client for signs of infection and bleeding every shift. Antithyroid drugs, such as propylthiouracil, can cause agranulocytosis, which is a potentially serious reduction in the number of white blood cells, leading to a decreased ability to fight infection and an increased risk of bleeding. Continuous monitoring is necessary to identify any potential complications early on.

Potassium iodide is used in the treatment of hyperthyroidism to decrease the thyroid gland's consumption of iodine, which in turn helps to control the overproduction of thyroid hormone. It is important to note that the medications should not be discontinued based solely on the normalization of the heart rate for a short period, nor should they be ceased prior to surgery without specific medical advice, as this could result in a potentially dangerous exacerbation of hyperthyroidism.