A nurse is assessing a client who is receiving levothyroxine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?
Decrease in body temperature
Increase in energy
Increase in weight
Decrease in appetite
The Correct Answer is B
Choice A reason: Decreased body temperature reflects hypothyroidism; levothyroxine raises metabolism, normalizing or increasing temperature, so this isn’t a therapeutic response.
Choice B reason: Increased energy occurs as levothyroxine restores thyroid hormone, boosting metabolism, reversing hypothyroidism’s fatigue, a key sign of effective treatment.
Choice C reason: Weight gain contradicts levothyroxine’s effect; it increases metabolism, aiding weight loss or stabilization, not gain, in hypothyroidism treatment.
Choice D reason: Decreased appetite isn’t typical; levothyroxine may normalize appetite as metabolism rises, not suppress it, differing from hypothyroidism’s effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Brussel sprouts, goitrogens, inhibit iodine uptake by the thyroid, reducing hormone production in Graves’ disease, countering excess T3/T4 when on iodine supplements.
Choice B reason: Cabbage, a cruciferous vegetable, contains goitrogens that block iodine incorporation into thyroid hormones, helping manage hyperthyroidism’s overactivity with supplements.
Choice C reason: Broccoli’s goitrogenic compounds suppress thyroid function by limiting iodine use, aiding in controlling Graves’ disease’s excessive hormone synthesis during treatment.
Choice D reason: Fish, rich in iodine, boosts thyroid hormone production, worsening Graves’ disease, so it’s avoided when taking iodine supplements to reduce T3/T4 levels.
Choice E reason: Peaches lack significant iodine or goitrogens, having no impact on thyroid function, so they’re not restricted in Graves’ disease management with iodine.
Correct Answer is D
Explanation
Choice A reason: Thyroid cancer involves malignant thyroid growth, not a consequence of parathyroid damage during surgery, which affects calcium, not cancer risk.
Choice B reason: Goiter is thyroid enlargement from iodine issues or hyperplasia, unrelated to parathyroid damage, which controls calcium, not thyroid size.
Choice C reason: Graves’ disease, hyperthyroidism, results from autoantibodies, not parathyroid injury, which causes hypocalcemia, not thyroid hormone excess.
Choice D reason: Parathyroid damage reduces PTH, dropping calcium levels, leading to tetany—muscle spasms from hypocalcemia, a direct surgical complication.
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