A nurse is providing teaching to a client who has a prescription for levothyroxine 25 mcg PO daily. Which of the following instructions should the nurse include in the teaching?

Take the medication 2 hr apart from calcium supplements.

Take the medication on an empty stomach 30 min before breakfast.

Take a double dose of the medication if the last dose was missed.

Take this medication with a small sip of water.

Answer and Explanation

The Correct Answer is B

A. Taking the medication 2 hours apart from calcium supplements is important, but the timing is not the primary instruction; the focus should be on the medication itself.

B. Levothyroxine should be taken on an empty stomach, ideally 30 to 60 minutes before breakfast, to enhance absorption.

C. Taking a double dose if a dose is missed can lead to toxicity; patients should be instructed to skip the missed dose and resume the regular schedule.

D. While taking the medication with a small sip of water is acceptable, it is not the most critical instruction for ensuring proper absorption and effectiveness of levothyroxine.

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Correct Answer is D

Explanation

Bradycardia is not typically associated with pulmonary edema; instead, tachycardia is more common as the body tries to compensate for decreased oxygenation.

B. Wheezing may occur in certain respiratory conditions but is not a classic finding in pulmonary edema; instead, crackles or rales are more expected due to fluid accumulation.

C. Pale, dry skin is not characteristic of pulmonary edema; the client may present with cyanosis or clammy skin due to hypoxia.

D. Pink, frothy sputum is a classic sign of pulmonary edema, indicating fluid in the alveoli and is often associated with acute heart failure.

A. “There's a protocol for reviewing your medical record, and I can initiate the process.” B. “Some parts of your medical record are restricted, but I can show you the parts that you are allowed to see.” C. “The medical record has a lot of medical terminology, and it might be difficult for you to understand.” D. “You should really talk to your provider if you have any questions about your treatment.”

Correct Answer is A

Explanation

A. Initiating the process to review the medical record is appropriate; clients have the right to access their medical information under HIPAA regulations, and the nurse can assist in starting that process.

B. While there are restricted parts of a medical record, the response lacks a proactive approach to assisting the client in accessing the information they have the right to view.

C. This response is dismissive of the client's request and does not provide an avenue for understanding the medical record better.

D. Although the provider can provide more detailed information about treatment, it does not

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A nurse is providing teaching to a client who has a prescription for levothyroxine 25 mcg PO daily. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse receives a request from a client to review the information in his medical record. Which of the following responses should the nurse give?

Correct Answer is A

Explanation

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