A client is started on levothyroxine for the treatment of hypothyroidism. During client teaching, the nurse indicates that the dosage may be increased how often until symptoms are relieved?

Weekly

Monthly

Every 3 to 5 days

Every 4 to 6 weeks

Answer and Explanation

The Correct Answer is D

A. Weekly – This frequency is too frequent for dosage adjustments of levothyroxine. Adjustments are generally made less frequently to allow for the medication to reach therapeutic levels.

B. Monthly – While some adjustments may be made on a monthly basis, this is not the typical recommendation.

C. Every 3 to 5 days – This is also too frequent for dosage adjustments as it may not allow enough time to assess the effects of the current dose.

D. Every 4 to 6 weeks – This is the correct recommendation for adjusting levothyroxine dosages. After starting therapy or adjusting the dose, it is advised to wait 4 to 6 weeks before evaluating thyroid function tests and making any further adjustments to the dosage, as it takes time for the medication to take effect.

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Correct Answer is D

Explanation

This intervention is important to ensure accurate dosing and prevent medication errors. Insulin is a high-alert medication, meaning that it has a high potential for causing significant harm to the patient if administered incorrectly. Doublechecking the insulin dosage with a colleague can help prevent errors in dosing, which could lead to hypoglycemia or hyperglycemia in the client. It is also important to confirm the dosage since insulin dosing is based on individualized factors such as the client's blood glucose levels, weight, and overall health status.

A. Dopamine B. Adenosine C. Norepinephrine D. Acetylcholine

Correct Answer is A

Explanation

Schizophrenia is believed to be related to an overactivity of the dopamine system in certain areas of the brain. Antipsychotic medications, which are the primary treatment for schizophrenia, work by blocking dopamine receptors, thereby decreasing the activity of the dopamine system. This is referred to as the dopamine hypothesis of schizophrenia.

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A client is started on levothyroxine for the treatment of hypothyroidism. During client teaching, the nurse indicates that the dosage may be increased how often until symptoms are relieved?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the medication, the nurse should implement which intervention?

Correct Answer is D

Explanation

The nurse is caring for a client who has been diagnosed with schizophrenia. The nurse understands that the client's condition is thought to be most likely related to an increased level of activity of what neurotransmitter?

Correct Answer is A

Explanation

A client will be using an insulin pump to deliver a consistent amount of insulin to meet the client's needs. Where should the nurse insert the pump for the maximum amount of absorption?

A client is to be started on amphetamine therapy for attention deficit hyperactivity disorder. Which medication has less physical dependence and abuse than other amphetamines?

A client is being prescribed a central nervous system stimulant. Which will haw lowest risk of abuse and dependence?

Hydrocortisone has been prescribed to a client for the treatment of Addison's disease What action should the nurse encourage the client to take regarding the selfadministration of this medication?

An older adult resident of a long-term care facility has been prescribed calcium citrate to address decreasing bone density. The nurse should review the resident’s medication administration record knowing that what medication may decrease the effects of calcium?

An older adult client has been diagnosed with postmenopausal osteoporosis and has been prescribed calcitonin. The nurse should anticipate administration by what route’

A client will soon begin long-term treatment with hydrocortisone after being diagnosed with Addison's disease. In order to mitigate the potential adverse effect of this treatment regimen, the nurse should encourage the client to increase the intake of what nutrient?

An older adult client has been prescribed metformin for the treatment of type 2 diabetes for several years. Which change in the client's laboratory values may demonstrate a need to discontinue the medication?