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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: While propranolol withdrawal can have various effects, hyperkalemia isn't typically associated with sudden discontinuation of this medication.
Choice B rationale: Propranolol is a beta-blocker used to treat conditions like hypertension and cardiac arrhythmias. Stopping this medication suddenly can lead to rebound effects, such as an increased heart rate or tachycardia, due to sudden withdrawal of the medication's effects on the heart.
Choice C rationale: Rhinitis is not a typical manifestation of propranolol withdrawal.
Choice D rationale: Bradypnea, or slow breathing, is not commonly associated with the withdrawal effects of propranolol.
Correct Answer is B
Explanation
Choice A rationale: Nausea can be a common side effect of osmotic laxatives but may not directly indicate fluid volume deficit.
Choice B rationale: Oliguria (decreased urine output) can indicate fluid volume deficit in a client taking an osmotic laxative due to potential excessive fluid loss or dehydration.
Choice C rationale: Weight gain is not typically associated with fluid volume deficit; rather, it could indicate fluid retention.
Choice D rationale: Headaches might occur due to various reasons but might not directly indicate fluid volume deficit in this context.
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