The nurse suspects the client's dose of levothyroxine (Synthroid) is too low when the client displays which symptom?

Tachycardia

Intolerance to cold

Weight loss

Fine tremors of fingers and hands

Answer and Explanation

The Correct Answer is B

Choice A reason: Tachycardia, or rapid heart rate, is typically a symptom of an overdose of levothyroxine, not an underdose.

Choice B reason: Intolerance to cold is a common symptom of hypothyroidism, which occurs when the thyroid hormone levels are too low, indicating that the levothyroxine dose may be insufficient.

Choice C reason: Weight loss is more commonly associated with hyperthyroidism or an excessive dose of levothyroxine.

Choice D reason: Fine tremors of fingers and hands are also more indicative of hyperthyroidism or too high a dose of levothyroxine.

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Correct Answer is C

Explanation

Choice A reason: An oral temperature of 99.8°F (37.7°C) post-operatively may not be unusual and does not necessarily indicate a complication.

Choice B reason: A post-operative hemoglobin of 10.9 g/dL is slightly below the normal range but may be expected after surgery due to blood loss.

Choice C reason: A client reporting a pressure sensation at the incision site could indicate bleeding or swelling under the incision, which can be a sign of a hematoma, a serious complication that needs immediate attention.

Choice D reason: Pain at the incision site is expected post-operatively and can be managed with pain relief measures.

A. Dyskinesias B. Dyspnea C. Hypertension D. Cold intolerance

Correct Answer is A

Explanation

Choice A reason: Dyskinesias, which are involuntary, erratic, writhing movements of the face, arms, legs, or trunk, are common side effects of long-term use of levodopa and carbidopa, especially after many years of therapy.

Choice B reason: Dyspnea, or difficulty breathing, is not commonly associated as a side effect of levodopa and carbidopa.

Choice C reason: Hypertension is not typically a side effect of levodopa and carbidopa; these medications can sometimes cause low blood pressure, particularly upon standing.

Choice D reason: Cold intolerance is not a recognized side effect of levodopa and carbidopa.

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The nurse suspects the client's dose of levothyroxine (Synthroid) is too low when the client displays which symptom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has just returned to the unit following a thyroidectomy. Which assessment finding is a priority for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

Correct Answer is A

Explanation

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