A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
Hypoactive deep-tendon reflexes
Drowsiness
Insomnia
Constipation
The Correct Answer is C
Rationale- Levothyroxine is a synthetic form of thyroxine. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism. An overdose of the medication causes symptoms which include insomnia, hyperactive tendon reflexes, diarrhea and anxiety
A, B, D- features of hypothyroidism
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Trough levels should be taken immediately to ensure that the drug levels are at the lowest. Peak levels are taken 30-45mins after the infusion as the drug levels rises rapidly reaching a peak level
B, D- The timings of measurement are closely related to the administration of the drug
C- Peak levels are taken after administration and trough levels after an d not vice versa
Correct Answer is C
Explanation
Methotrexate causes hyperuricemia which may predispose to kidney stones. Adequate hydration help flush out the uric acid preventing stone formation
A-Although methotrexate can cause nausea and vomiting, this does not always happen, therefore, no need for the antiemetic before intake
B-Taking methotrexate with an NSAID increases risk of gastrointestinal irritation
D-Methotrexate cause stomatitis which may be aggravated by use of alcohol-based mouth wash
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