A nurse is caring for a client who is taking levothyroxine. Which of the following findings should the nurse identify as an adverse effect?

Depression

Weight loss

Cold intolerance

Constipation

Answer and Explanation

The Correct Answer is B

Choice A reason: Depression is not an adverse effect of levothyroxine. In fact, untreated hypothyroidism can cause depressive symptoms, which typically improve with appropriate thyroid hormone replacement.

Choice B reason: Weight loss is the correct answer because levothyroxine increases metabolic rate. Excessive dosing or sensitivity to the medication can lead to hyperthyroid-like symptoms, including weight loss, tachycardia, anxiety, and heat intolerance.

Choice C reason: Cold intolerance is a symptom of hypothyroidism, not an adverse effect of levothyroxine. Proper dosing should alleviate cold intolerance rather than cause it.

Choice D reason: Constipation is also a symptom of hypothyroidism. Levothyroxine therapy generally improves bowel motility. Constipation is not considered an adverse effect of the medication.

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Correct Answer is A

Explanation

Choice A reason: Wearing gloves when washing dishes is the correct answer because peripheral neuropathy causes decreased sensation in the hands, increasing the risk of burns or injury from hot water or sharp objects. Gloves provide protection and reduce exposure to extreme temperatures, thereby preventing injury.

Choice B reason: Loose-fitting shoes can increase the risk of falls and foot injuries because they do not provide adequate support or protection. Clients with neuropathy require well-fitting shoes to prevent trauma and pressure injuries.

Choice C reason: Inspecting feet weekly is insufficient. Clients with neuropathy should inspect their feet daily due to the high risk of unnoticed injuries, infections, or ulcers. Weekly inspection delays detection and treatment of complications.

Choice D reason: Eating foods low in fiber is inappropriate. Fiber is important for maintaining gastrointestinal health, especially since chemotherapy can cause constipation. A low-fiber diet would worsen bowel issues rather than help neuropathy.

A. Absence of urine ketones. B. Blood glucose 685 mg/dL (74 to 106 mg/dL). C. BUN 8 mg/dL (10 to 20 mg/dL). D. Fruity breath odor. E. Dehydration.

Correct Answer is ["A","B","E"]

Explanation

Choice A reason: Absence of urine ketones is expected in hyperglycemic hyperosmolar state (HHS). Unlike diabetic ketoacidosis (DKA), HHS does not involve significant ketone production because insulin levels are usually sufficient to prevent lipolysis and ketogenesis.

Choice B reason: Blood glucose levels in HHS are extremely elevated, often exceeding 600 mg/dL. A value of 685 mg/dL is consistent with this condition and reflects the severe hyperglycemia that drives osmotic diuresis and dehydration.

Choice C reason: A BUN of 8 mg/dL is within normal range and would not be expected in HHS. Typically, BUN is elevated due to dehydration and reduced renal perfusion. Therefore, this finding is not consistent with HHS.

Choice D reason: Fruity breath odor is characteristic of diabetic ketoacidosis due to acetone accumulation from ketone metabolism. It is not expected in HHS, which lacks significant ketosis.

Choice E reason: Dehydration is a hallmark of HHS. Severe hyperglycemia causes osmotic diuresis, leading to profound fluid loss, hemoconcentration, and electrolyte imbalance.

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A nurse is caring for a client who is taking levothyroxine. Which of the following findings should the nurse identify as an adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who has chemotherapy-induced peripheral neuropathy. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is assessing a client who is experiencing a hyperglycemic hyperosmolar state. Which of the following findings should the nurse expect? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

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