A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months.
Which of the following statements by the client indicates a therapeutic response to the medication?
"I am taking a laxative for constipation”
"I have noticed I'm not as cold as I use to be”
"I am losing weight without dieting”
"I seem to be sleeping more than usual”
The Correct Answer is B
Levothyroxine is a thyroid hormone medicine used to treat hypothyroidism (low thyroid hormone)1.
It works by replacing thyroid hormone that is normally produced by the body.
Cold intolerance is a common symptom of hypothyroidism2, so if the client reports that they are not as cold as they used to be, it indicates that the medication is working and their hormone levels are returning to a healthy range.
Choice A is wrong because constipation is a common symptom of hypothyroidism2, so taking a laxative for constipation does not indicate a therapeutic response to the medication.
Choice C is wrong because weight loss without dieting can be a side effect of taking too much levothyroxine.
Choice D is wrong because sleeping more than usual can be a symptom of hypothyroidism2, so it does not indicate a therapeutic response to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should include paresthesias as an adverse effect of ergotamine in the teaching.
Paresthesias refers to a sensation of tingling, tickling, prickling, or burning of a person’s skin with no apparent physical cause.
Choice A is wrong because blurred vision is not a commonly reported adverse effect of ergotamine.
Choice B is wrong because hematuria is not a commonly reported adverse effect of ergotamine.
Choice C is wrong because tinnitus is not a commonly reported adverse effect of ergotamine.
Correct Answer is A
Explanation
Albuterol can cause a rapid heart rate (tachycardia).
It is one of the more serious side effects of albuterol.
Choice B is wrong because Fever, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
Choice C is wrong because Constipation, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
Choice D is wrong because Drowsiness, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
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