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(Solved): A patient is admitted with a diagnosis of hyperthyroidism and the medical history includes diabetes ...



A patient is admitted with a diagnosis of hyperthyroidism and the medical history includes diabetes mellitus type II. The patient’s laboratory results are as follows: elevated T3 and T4 and low TSH. The patient also exhibits the following symptoms: HR: 101 beats/minute, BP: 142/90 mmHg, heat intolerant, occasional diarrhea, weight loss of 3 pounds in the last week, Blood glucose: 200 mg/dL. The nurse receives the following orders: · Admit to the Medical Unit · Diet: Diabetic · Refer to PT/OT for evaluation and strengthening · Medications: o Propylthiouracil 100 mg oral every 8 hours o Metformin 1000 mg oral BID · Labs: o TSH, T3, T4 levels in a.m. o Complete Metabolic Panel (CMP) o Complete Blood Count (CBC) 1. The nurse administers the scheduled 0900 dose of propylthiouracil. What teachings will the nurse include? What assessments will the nurse monitor for after administration? 2. The nurse administers the scheduled 0900 dose of metformin. What teachings will the nurse include? What laboratory result will the nurse monitor for to determine the long-term effectiveness of the medication?



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