A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?

Increase in weight

Decrease in body temperature

Increase in energy

Decreased heart rate

Answer and Explanation

The Correct Answer is C

A. An increase in weight is typically a symptom of untreated or poorly managed hypothyroidism, not a therapeutic response.

B. A decrease in body temperature is associated with hypothyroidism, and an improvement in this condition should result in a normalization of temperature, not a decrease.

C. An increase in energy is a therapeutic response to liothyronine, as hypothyroidism often causes fatigue and low energy levels. Treatment with liothyronine should alleviate these symptoms and restore normal energy levels.

D. A decreased heart rate (bradycardia) is a symptom of hypothyroidism, and effective treatment should normalize the heart rate, not lower it further.

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Free Nursing Study Resources

Correct Answer is ["1370"]

Explanation

To calculate the total output of the client, the nurse would add together all the measured outputs. The client voided 400 mL at 1100 and 350 mL at 1430, which totals 750 mL. The closed chest drainage system shows an increase from 155 mL to 175 mL, indicating an output of 20 mL. The NG tube has 575 mL in the drainage container. Additionally, 25 mL was emptied from the Jackson-Pratt drainage tube. Adding these amounts together (750 mL + 20 mL + 575 mL + 25 mL), the total output recorded by the nurse should be 1370 mL.

A. Provide a low sodium diet. B. Restrict fluid intake to 1,000 ml, per day. C. Administer desmopressin acetate. D. Maintain an IV of 0.45% sodium chloride.

Correct Answer is B

Explanation

A. A low sodium diet is not appropriate for a client with SIADH and hyponatremia, as it can exacerbate the low sodium levels. Increasing sodium intake might be more appropriate depending on the clinical situation.

B. Restricting fluid intake is a standard treatment for SIADH to prevent further dilution of sodium in the blood, which is critical in managing hyponatremia.

C. Desmopressin acetate is used to treat conditions with insufficient antidiuretic hormone, such as diabetes insipidus, and is not appropriate for SIADH.

D. An IV of 0.45% sodium chloride is hypotonic and could worsen hyponatremia in SIADH. Hypertonic saline would be more appropriate if IV treatment were necessary.

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A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1370"]

Explanation

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

Correct Answer is B

Explanation

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