The nurse is preparing a patient for a test that will involve the use of contrast media. Which finding in the patient's health history should be reported to the physician before the examination?

The patient's food allergies include shrimp.

The patient takes prescribed potassium supplements.

The patient did not take his morning dose of antihypertensive medication.

The patient was not NPO for at least 6 hours.

Answer and Explanation

The Correct Answer is A

A. The patient's food allergies include shrimp: Individuals with shellfish allergies may be at risk for an allergic reaction to iodine-based contrast media. The nurse should report this to the physician as it could increase the likelihood of an allergic reaction during the procedure.

B. The patient takes prescribed potassium supplements: While it is important to monitor potassium levels, taking potassium supplements is not directly related to the use of contrast media. There is no immediate concern.

C. The patient did not take his morning dose of antihypertensive medication: This is generally not an urgent concern. Missing a dose of antihypertensive medication does not directly affect the safety or effectiveness of contrast media.

D. The patient was not NPO for at least 6 hours: While it is important for the patient to be NPO before certain procedures, missing the fasting requirement may be an issue, but it is not as critical as a potential allergy to contrast media.

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Correct Answer is A

Explanation

A. Full therapeutic effect may take 1 to 3 weeks: Levothyroxine (Synthroid) typically starts to show effects within 1 to 3 weeks, but full therapeutic effects may take several weeks to months for symptoms like fatigue and depression to improve.

B. Full therapeutic effect may take up to 4 months: Levothyroxine typically shows initial improvement within 1 to 3 weeks, not 4 months. Full stabilization can take a few months, but this is too long for initial effects.

C. Diarrhea as an early side effect diminishes with time: Levothyroxine does not typically cause diarrhea. Constipation is more common in hypothyroidism, and any gastrointestinal issues should be reported to the provider.

D. Weight gain or edema formation is greatest in the first month: Levothyroxine helps reverse weight gain and edema caused by hypothyroidism. Weight gain is not a side effect of the medication.

A. diabetic retinopathy B. kidney failure C. undetected foot injury D. atherosclerosis

Correct Answer is C

Explanation

A. Diabetic retinopathy: Diabetic retinopathy is a complication of diabetesthat affects the eyes, specifically the retina and can lead to vision loss. It is not directly associated with diabetic neuropathy, which affects the nerves.

B. Kidney failure: Kidney failure can result from diabetic nephropathy, a complication of diabetes that affects the kidneys, but it is not the primary concern of diabetic neuropathy. Diabetic neuropathy primarily affects the nerves, especially in the extremities.

C. Undetected foot injury: Diabetic neuropathycan cause numbnessand reduced sensationin the feet, making it difficult for the patient to feel foot injuries. This can lead to undetected foot injuries, which can become infected and lead to serious complications like ulcers or even amputation.

D. Atherosclerosis: Atherosclerosis (plaque buildup in the arteries) can be a complication of diabetesand contribute to cardiovascular disease, but it is not a direct result of diabetic neuropathy. Neuropathy primarily affects the nerves, not the blood vessels.

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The nurse is preparing a patient for a test that will involve the use of contrast media. Which finding in the patient's health history should be reported to the physician before the examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who exhibits fatigue, lack of energy, constipation, and depression is diagnosed with hypothyroidism. The physician prescribes levothyroxine (Synthroid). To increase the likelihood of medication compliance in the early course of treatment, the nurse plans to alert the client that:

Correct Answer is A

Explanation

The nurse should teach the client to monitor for which complication of diabetic neuropathy?

Correct Answer is C

Explanation

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The nurse is aware that thyroid hormone production is dependent on the intake of.

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