A nurse in the emergency department is caring for female client. Exhibits For each of the provider's potential prescriptions, click to specify if the potential prescription is anticipated or contraindicated for the client.

Thyroid ultrasound: Needed to visualize the thyroid gland structure (goiter) and check for nodules or tumors. Eye drops: The client has exophthalmos (bulging eyes), which prevents the eyelids from closing completely, leading to dry, irritated corneas. Lubricating drops prevent corneal damage. Limit visitors: The client is hyper-stimulated (irritable, insomniac, tachycardic). Reducing environmental stimuli is a key nursing intervention to lower cardiac workload and anxiety. Levothyroxine: This is a synthetic thyroid hormone used to treat hypothyroidism. Giving it to a client with high T4 would worsen the condition and could precipitate a thyroid storm. Laxative: The client already reports increased bowel frequency (2-3/day) due to hypermotility. A laxative would cause diarrhea and dehydration.