Question

A patient with hyperthyroidism is taking propylthiouracil (PTU).

It is most important for the nurse to assess the patient for which adverse effects?

Gingival hyperplasia and dysphagia
Dyspnea and a dry cough
Blurred vision and nystagmus
Fever and sore throat

Answer 1

The most important adverse effects to assess for in a patient with hyperthyroidism taking propylthiouracil (PTU) are fever and sore throat, which may indicate agranulocytosis.

Step-by-step explanation:

In managing a patient with hyperthyroidism who is taking propylthiouracil (PTU), it is important for the nurse to be vigilant for signs of adverse effects. Among the potential adverse effects, the most critical to assess for are:fever and sore throat. These symptoms may indicate the development of agranulocytosis, a potentially severe and life-threatening reduction in white blood cells that requires immediate medical attention. Other signs and symptoms of hyperthyroidism may include protruding eyes, excessive sweating, and muscle weakness. If medication like PTU is ineffective, the thyroid gland may need to be removed surgically or treated with radioactive iodine to induce hypothyroidism.