13. A client receiving methimazole (Tapazole) calls the home health nurse and mentions that his heart rate is slower than usual. What is the nurse's best response?

A. Advise the client to go to a calming environment.
B. Ask whether the client has increased cold sensitivity or weight gain.
C. Instruct the client to see his primary health care provider immediately.
D. Tell the client to check his pulse again and call back later.

14. A client had a parathyroidectomy 8 hours ago. Which finding requires immediate attention?

The best response to a client on methimazole reporting a slow heart rate is to advise them to see their healthcare provider immediately, as bradycardia can be serious. Post-parathyroidectomy, the most concerning finding is hypocalcemia, needing immediate attention. Monitoring for these symptoms is essential for patient safety.

Explanation:

Response to Client's Concerns

When a client receiving methimazole (Tapazole) reports a slower than usual heart rate, the nurse's best response is to assess the situation further. The correct response is:

Option C: Instruct the client to see his primary health care provider immediately.

This is important because a slower heart rate, known as bradycardia, can be an adverse effect of methimazole, which is used to manage hyperthyroidism by inhibiting thyroid hormone synthesis. Bradycardia could indicate a serious issue, such as hypothyroidism or an interaction with other medications.

Post-Operative Parathyroidectomy Concern

After a parathyroidectomy, a finding that requires immediate attention is hypocalcemia, which is low levels of calcium in the blood. This is critical as it can lead to symptoms like muscle spasms, tingling, or even cardiac complications. Nurses should monitor the client’s calcium levels closely and be alert for any signs of tetany or seizures.

Learn more about Thyroid health and post-operative care here:

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