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?

Intolerance to cold.

Constipation.

Restlessness.

Decreased appetite.

Answer and Explanation

The Correct Answer is C

A) Intolerance to cold: Intolerance to cold is a common symptom of hypothyroidism, not a sign of taking too much levothyroxine sodium. Therefore, this symptom would not indicate an overdose of the medication.

B) Constipation: Constipation can be a symptom of hypothyroidism, and it may improve with appropriate thyroid hormone replacement therapy. It is not typically associated with taking too much levothyroxine sodium.

C) Restlessness: This is the correct answer. Restlessness, anxiety, nervousness, or feeling jittery are symptoms of hyperthyroidism, which can occur if the client is taking too much levothyroxine sodium. If the dose of levothyroxine is too high, it can lead to hyperthyroid symptoms, even though the medication is intended to treat hypothyroidism.

D) Decreased appetite: Decreased appetite is not a typical symptom of taking too much levothyroxine sodium. In fact, weight loss is more commonly associated with hyperthyroidism, which can occur if the dose of levothyroxine is too high. However, decreased appetite alone may not specifically indicate an overdose of levothyroxine.

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Correct Answer is ["133"]

Explanation

The nurse should program the infusion pump to deliver approximately 133 ml/hour.

Here's how we can calculate the rate:

Total volume of infusion (mL): 200 mL (dextrose 5% in water)

Infusion time (minutes): 90 minutes

We need to convert the infusion time to hours for the pump rate calculation:

Infusion time (hours) = 90 minutes / 60 minutes/hour

Infusion time (hours) = 1.5 hours

Now, calculate the flow rate (mL/hr):

Flow rate (mL/hr) = Total volume (mL) / Infusion time (hours)

Flow rate (mL/hr) = 200 mL / 1.5 hours

Flow rate (mL/hr) = 133.33 mL/hr (round to nearest whole number as requested)

Therefore, the nurse should program the pump to deliver 133 ml/hour.

A. Irritable bowel syndrome. B. Coronary artery disease. C. Type 2 diabetes mellitus. D. Seasonal allergic rhinitis.

Correct Answer is B

Explanation

A) Irritable bowel syndrome: While it's im’ortant to consider the client's me’ical history comprehensively, sumatriptan succinate is primarily contraindicated in clients with a history of coronary artery disease due to its potential vasoconstrictive effects.

B) Coronary artery disease: This is the correct response. Sumatriptan succinate is contraindicated in clients with a history of coronary artery disease or ischemic heart disease due to its potential to cause coronary vasospasm and increase the risk of myocardial ischemia or infarction.

C) Type 2 diabetes mellitus: While it's im’ortant to consider the client's ov’rall medical history, type 2 diabetes mellitus is not specifically contraindicated with sumatriptan succinate use.

D) Seasonal allergic rhinitis: While seasonal allergic rhinitis is relevant to the client's me’ical history, it is not directly related to the contraindications of sumatriptan succinate.

Therefore, the most crucial consideration before administering sumatriptan succinate is to determine if the client has a history of coronary artery disease or ischemic heart disease to avoid potential adverse cardiac effects.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["133"]

Explanation

Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's hi’tory includes which problem?

Correct Answer is B

Explanation

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