The practical nurse (PN) is preparing to administer levothyroxine 25 mcg PO daily to a newly admitted client with hypothyroidism. The PN observes that the client's neck is enlarged, but the client denies pain or difficulty swallowing. Which action should the PN take?
Withhold the medication and notify the charge nurse of the finding.
Administer the oral medication with a glass of water as scheduled.
Place the client on NPO status until further assessment is completed.
Crush the medication and mix with applesauce for administration.
The Correct Answer is B
A. Withhold the medication and notify the charge nurse: Not needed; goiter is common in hypothyroidism, and there are no swallowing/breathing issues.
B. Administer the oral medication with a glass of water as scheduled: No contraindication; continue therapy as prescribed.
C. Place the client on NPO status: Not indicated unless airway compromise or swallowing difficulty is present.
D. Crush the medication and mix with applesauce: Levothyroxine should be taken whole with water on an empty stomach for optimal absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Start at the most inflamed area to protect the tissue and promote healing:
Cleansing should progress from least contaminated to most contaminated area.
B. Start at the area with the most drainage to avoid infecting other areas:
This would spread bacteria to cleaner tissue.
C. Start at the drain site to avoid bringing skin bacteria toward the wound:
Drain site is most contaminated; clean outward to prevent contamination of wound.
D. Start at the clean area several inches away from the drain to avoid contaminating the drain:
Would push bacteria toward the more vulnerable drain site.
Correct Answer is B
Explanation
A. Apply the cream to the sterile dressings using a sterile tongue blade:
Silver sulfadiazine is applied directly to the burn, not to the dressing.
B. Remove the previous layer of medication using sterile normal saline:
Old cream must be removed to ensure medication effectiveness and prevent debris accumulation.
C. Open all the supplies before donning sterile gloves:
Helps maintain sterile field but is not the most important step before application.
D. Evaluate the client's response to the medications:
Pain relief should be assessed, but cleansing is the critical preparation step before new application.
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