A nurse reinforces instructions to a client with hypothyroidism about the dosage, method of administration, and side effects of levothyroxine sodium. Which statement by the client indicates an understanding of the nurse's instructions?

If I feel nervous or have tremors, I should only take half the dose.

I can expect diarrhea, insomnia, and excessive sweating.

I need to call my healthcare provider if my heart rate becomes fast.

I should take the medication in the evening.

Answer and Explanation

The Correct Answer is C

Choice A Reason: If I feel nervous or have tremors, I should not only take half the dose, but I should contact my healthcare provider, as these may indicate signs of overdose or hyperthyroidism.

Choice B Reason: I cannot expect diarrhea, insomnia, and excessive sweating, but these are possible side effects of overdose or hyperthyroidism.

Choice C Reason: I need to call my healthcare provider if my heart rate becomes fast, as this may indicate a serious adverse reaction or overdose of levothyroxine sodium.

Choice D Reason: I should not take the medication in the evening, but in the morning on an empty stomach at least 30 minutes before breakfast, as this ensures better absorption and prevents insomnia.

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Correct Answer is D

Explanation

Choice A Reason: Parkinson's disease does not result from too low acetylcholine as a result of an autoimmune reaction, but this may be a description of myasthenia gravis, which affects the neuromuscular junction.

Choice B Reason: Parkinson's disease is not caused by the deterioration of the myelin sheath of the basal ganglia, but this may be a description of multiple sclerosis, which affects the central nervous system.

Choice C Reason: Excess dopamine and deficient acetylcholine are not the two major causes of Parkinson's disease, but they are reversed. Parkinson's disease is caused by low dopamine and high acetylcholine levels in the brain.

Choice D Reason: Parkinson's is caused by depletion of dopamine and excess of acetylcholine, as this affects the balance between these two neurotransmitters that control movement and coordination.

A. High glucose level B. Low protein concentration C. Decreased CSF pressure D. Cloudy CSF

Correct Answer is D

Explanation

Choice A Reason: High glucose level is not a finding that confirms bacterial meningitis, but it may indicate other conditions such as diabetes mellitus or hyperglycemia.

Choice B Reason: Low protein concentration is not a finding that confirms bacterial meningitis, but it may indicate other conditions such as malnutrition or liver disease.

Choice C Reason: Decreased CSF pressure is not a finding that confirms bacterial meningitis, but it may indicate other conditions such as dehydration or spinal cord injury.

Choice D Reason: Cloudy CSF is a finding that confirms bacterial meningitis, as it indicates that there is an infection and inflammation in the meninges that surround the brain and spinal cord.

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A nurse reinforces instructions to a client with hypothyroidism about the dosage, method of administration, and side effects of levothyroxine sodium. Which statement by the client indicates an understanding of the nurse's instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of student nurses on the care of a client with Parkinson's disease. Which statement, if made by a student, indicates understanding of the topic?

Correct Answer is D

Explanation

A lumbar puncture is performed on a client with suspected bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse determines that the diagnosis is confirmed if which findings are noted?

Correct Answer is D

Explanation

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