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 have noticed I'm not as cold as I use to be."

"I am taking a laxative for constipation."

"I am losing weight without dieting."

"I seem to be sleeping more than usual."

Answer and Explanation

The Correct Answer is A

Choice A rationale: Improved sensitivity to cold is a common symptom alleviated by levothyroxine in hypothyroidism, indicating a therapeutic response to the medication.
Choice B rationale: Constipation might improve with levothyroxine, but it is not a direct indicator of a therapeutic response.
Choice C rationale: Weight loss might occur due to corrected metabolic processes but isn't the most specific indicator of a therapeutic response.
Choice D rationale: Increased sleep might be due to various factors and may not directly correlate with a therapeutic response to levothyroxine.

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Correct Answer is C

Explanation

Choice A rationale: Naloxone is primarily used to reverse opioid overdose.
Choice B rationale: Alprazolam is a benzodiazepine typically prescribed for anxiety disorders.
Choice C rationale: Bupropion is a medication used to aid smoking cessation by reducing nicotine cravings and withdrawal symptoms. It's among the commonly prescribed medications for individuals seeking to quit smoking.
Choice D rationale: Melatonin is a supplement used for regulating sleep cycles and isn't directly linked to smoking cessation.

A. Exophthalmos B. Weight loss C. Diaphoresis D. Bradycardia

Correct Answer is D

Explanation

Choice A rationale: Exophthalmos (bulging eyes) is a characteristic feature of Graves' disease and might not directly relate to the need for a lower medication dose.
Choice B rationale: Weight loss is a symptom of hyperthyroidism and might not directly indicate the need for a lower methimazole dose.
Choice C rationale: Diaphoresis (excessive sweating) can be a symptom of hyperthyroidism but might not solely indicate the need for a lower methimazole dose.
Choice D rationale: Bradycardia (abnormally slow heart rate) might indicate excessive suppression of thyroid function caused by an excessive dose of methimazole in a client with Graves' disease, warranting a lower medication dose.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?

Correct Answer is C

Explanation

A nurse is assessing a client who has Graves' disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication?

Correct Answer is D

Explanation

A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings?

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A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.)

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