Levothyroxine sodium is prescribed for a client with hypothyroidism.
The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Constipation.
Intolerance to cold.
Restlessness.
Decreased appetite.
The Correct Answer is C
Choice A reason: Constipation is typically a symptom of hypothyroidism, not hyperthyroidism. If a client is taking too much levothyroxine, they are more likely to experience symptoms of hyperthyroidism, such as diarrhea, rather than constipation.
Choice B reason: Intolerance to cold is a common symptom of hypothyroidism, indicating that the thyroid hormone levels are too low. If the client is taking too much levothyroxine, they would more likely experience heat intolerance due to increased metabolic activity.
Choice C reason: Restlessness is a symptom of hyperthyroidism, which can occur if a client is taking too much levothyroxine. Excess thyroid hormone can lead to increased nervous system activity, causing symptoms such as restlessness, anxiety, and tremors.
Choice D reason: Decreased appetite is more commonly associated with hypothyroidism. In contrast, hyperthyroidism, which can result from taking too much levothyroxine, often leads to an increased appetite.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Omeprazole is a proton pump inhibitor used to treat gastroesophageal reflux disease (GERD). While it is generally safe, it is not commonly associated with causing jaundice. Omeprazole can cause liver enzyme elevations in rare cases, but it is not a primary concern for drug-induced jaundice.
Choice B reason: Acetaminophen is known to cause hepatotoxicity, especially in high doses or with prolonged use. It is one of the most common causes of drug-induced liver injury, which can lead to jaundice. The nurse should notify the healthcare provider about the use of acetaminophen, as it is a likely culprit for the client’s jaundice.
Choice C reason: Captopril is an ACE inhibitor used to treat hypertension. While it can cause various side effects, it is not typically associated with causing jaundice. The primary concerns with captopril are related to renal function and electrolyte imbalances.
Choice D reason: Prednisone is a corticosteroid used to reduce inflammation in conditions like osteoarthritis. Although long-term use of corticosteroids can affect liver function, it is not commonly associated with causing jaundice. The nurse should still monitor liver function but focus on more likely causes.
Correct Answer is A
Explanation
Choice A reason: Giving the next scheduled dose without further assessment is not advisable. An INR of 2.8 is within the therapeutic range for many conditions treated with warfarin, but it is important to ensure that the INR is stable and not trending higher, which could increase the risk of bleeding.
Choice B reason: Obtaining another blood sample might be necessary if there is suspicion of an error or if the INR is unexpectedly high or low. However, in this scenario, the INR is within the therapeutic range, so this action is not immediately necessary.
Choice C reason: Monitoring for signs of bleeding is always important for clients on warfarin, but it does not address the immediate need to communicate with the healthcare provider about the current INR level and any potential adjustments to the medication.
Choice D reason: Notifying the healthcare provider is the most appropriate action. The healthcare provider needs to be aware of the current INR level to make any necessary adjustments to the warfarin dosage and to provide further instructions on monitoring and follow-up.
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