A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet.

How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies.

(Do not use a trailing zero)

Choice A rationale
Polyuria (frequent urination) is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia (high blood sugar levels)15.
Choice B rationale
Sweating is a common symptom of hypoglycemia. It occurs as the body’s response to low blood sugar levels, triggering the release of adrenaline.
Choice C rationale

Blurry vision can occur during hypoglycemia due to the lack of glucose available for the proper functioning of the eyes.
Choice D rationale
Tachycardia (rapid heartbeat) is a common symptom of hypoglycemia. It occurs as the body’s response to low blood sugar levels, triggering the release of adrenaline.
Choice E rationale
Polydipsia (excessive thirst) is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia.

Choice A rationale
Monitoring the puncture site for hematoma is crucial because a hematoma can indicate bleeding at the puncture site, which can lead to complications such as infection or nerve damage. Hematomas can also cause increased intracranial pressure, which can be dangerous for the patient. Therefore, it is essential to monitor the site closely to ensure that any signs of bleeding are detected early and managed appropriately.
Choice B rationale
Elevating the client’s head of bed is incorrect because it can increase the risk of cerebrospinal fluid (CSF) leakage from the puncture site. After a lumbar puncture, it is recommended to keep the patient in a flat position for several hours to reduce the risk of post-lumbar puncture headache and to allow the puncture site to heal properly. Elevating the head of the bed too soon can disrupt this process and lead to complications.
Choice C rationale

Inserting a urinary catheter is incorrect because it is not a standard procedure following a lumbar puncture. The primary focus after a lumbar puncture is to monitor for complications related to the procedure itself, such as bleeding, infection, or CSF leakage. Inserting a urinary catheter is not necessary unless there is a specific indication for it, such as urinary retention or other urological issues.
Choice D rationale
Encouraging fluid intake is correct because it helps to replenish the CSF that was removed during the lumbar puncture. Increased fluid intake can also help to reduce the risk of post- lumbar puncture headache, which is a common complication. Hydration is important for overall recovery and helps to maintain normal bodily functions.
Choice E rationale
Applying a cervical collar to the client is incorrect because it is not related to the care of a lumbar puncture site. A cervical collar is typically used for patients with neck injuries or conditions affecting the cervical spine. It has no role in the management of a lumbar puncture site and would not provide any benefit in this context.