A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Levofloxacin

Radioactive iodine

Sumatriptan

Levothyroxine

Answer and Explanation

The Correct Answer is D

Rationale- Levothyroxine is a synthetic form of thyroxine that is used in the management of symptomatic hypothyroidism. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism.

A-Levofloxacin is a fluoroquinolone antibiotic for treatment of infections

B- Ionizing radiation used in the destroying active thyroid tissue in the cases of hyperthyroidism

C- Sumatriptan is serotonin antagonist used in the treatment of migraines

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Correct Answer is D

Explanation

Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.

Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately

A. furosemide does not affect the blood glucose levels

B. furosemide is used to lower blood pressure by reducing venous return.

C. furosemide reduces fluid load by blocking water reabsorption in the kidney

A. Draw a trough level immediately prior to administering the medication and peak level 30 min after the dose. B. Draw a peak level at 0900 and a trough level at 2100. C. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. D. Draw a trough level at 0900 and a peak level at 2100.

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

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A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?

Correct Answer is D

Explanation

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Correct Answer is A

Explanation

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