A client diagnosed with hypothyroidism has been taking the thyroid hormone levothyroxine for three months. Which client statement could indicate the client is receiving too much dose of the medication?

"My hands seem to shake when I write or take a fork."

"I have a bowel movement more frequently."

"I can now enjoy the winter weather."

"I have a lot of energy and now I can work almost all day."

Answer and Explanation

The Correct Answer is A

Choice A rationale: This statement could indicate that the client is receiving too much dose of the medication, which can cause hyperthyroidism. Hyperthyroidism is a condition where the thyroid gland produces too much thyroid hormone, which can speed up the body's metabolism and cause symptoms such as tremors, nervousness, weight loss, increased heart rate, and heat intolerance.

Choice B rationale: More frequent bowel movements could be a normal effect of the medication, as levothyroxine can improve constipation that is often associated with hypothyroidism.

Choice C rationale: The ability to enjoy cold weather might suggest improved tolerance to cold, which would align with normalized thyroid function.

Choice D rationale: This could be a sign of improved well-being and quality of life due to the medication, as levothyroxine can improve fatigue and depression that are often associated with hypothyroidism.

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Correct Answer is B

Explanation

Choice A rationale: Used primarily for gout and familial Mediterranean fever, not for Paget's disease.

Choice B rationale: Alendronate is a bisphosphonate commonly used to manage Paget's disease by slowing down bone breakdown and reducing the risk of complications.

Choice C rationale: Prednisone is a corticosteroid used for various inflammatory conditions but not typically prescribed for Paget's disease.

Choice D rationale: Used to lower uric acid levels and prevent gout attacks, not a primary medication for Paget's disease.

A. Oral temperature B. Thready pulse C. Reports of thirst D. Recently lost his job E. Medical history of CHF

Correct Answer is ["B","D"]

Explanation

Choice A rationale: While the temperature is important in assessing health, it isn't the most concerning finding in this scenario compared to others.

Choice B rationale: A thready pulse (a weak, barely palpable pulse) could indicate a critical drop in blood pressure and cardiac output, which is a significant concern.

Choice C rationale: While indicating a possible issue with hydration, it's not as immediately concerning as other findings in this context.

Choice D rationale: Recently lost his job - While this has social and economic implications, it's not an immediate physiological concern in this clinical scenario.

Choice E rationale: While significant in his overall health, it's not a direct finding from the current assessment that immediately raises concern.

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A client diagnosed with hypothyroidism has been taking the thyroid hormone levothyroxine for three months. Which client statement could indicate the client is receiving too much dose of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?

Correct Answer is B

Explanation

The nurse cares for a client with diabetes mellitus and congestive heart failure. Exhibits Which two (2) client findings in the history and physical are most concerning? Select all that apply

Correct Answer is ["B","D"]

Explanation

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