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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason: Calling the RN supervisor is not the priority action for the nurse, as it may delay the intervention and outcome.
Choice B Reason: Completing an incident report is not the priority action for the nurse, as it does not address the immediate problem or prevent further complications.
Choice C Reason: Checking the blood glucose level is not the priority action for the nurse, as it may confirm the error but not correct it.
Choice D Reason: Giving the client 15 to 20 g of carbohydrate is the priority action for the nurse, as it may prevent or treat hypoglycemia, which is a serious complication of insulin overdose.
Correct Answer is ["A","B","C"]
Explanation
Choice A Reason: Heat intolerance is a common finding in hyperthyroidism, as the increased metabolic rate causes the body to produce more heat and sweat.
Choice B Reason: Diarrhea is a common finding in hyperthyroidism, as the increased motility of the gastrointestinal tract causes more frequent and loose stools.
Choice C Reason: Weight loss is a common finding in hyperthyroidism, as the increased metabolism and appetite cause the body to burn more calories than it consumes.
Choice D Reason: Weight gain is not a common finding in hyperthyroidism, but it may indicate other conditions such as hypothyroidism or Cushing's syndrome.
Choice E Reason: Bradycardia is not a common finding in hyperthyroidism, but it may indicate other conditions such as heart block or beta-blocker use.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today