A client diagnosed with hypothyroidism has been taking the thyroid hormone levothyroxine for three months. Which client statement could indicate the client is receiving too much dose of the medication?
"My hands seem to shake when I write or take a fork."
"I have a bowel movement more frequently."
"I can now enjoy the winter weather."
"I have a lot of energy and now I can work almost all day."
The Correct Answer is A
Choice A rationale: This statement could indicate that the client is receiving too much dose of the medication, which can cause hyperthyroidism. Hyperthyroidism is a condition where the thyroid gland produces too much thyroid hormone, which can speed up the body's metabolism and cause symptoms such as tremors, nervousness, weight loss, increased heart rate, and heat intolerance.
Choice B rationale: More frequent bowel movements could be a normal effect of the medication, as levothyroxine can improve constipation that is often associated with hypothyroidism.
Choice C rationale: The ability to enjoy cold weather might suggest improved tolerance to cold, which would align with normalized thyroid function.
Choice D rationale: This could be a sign of improved well-being and quality of life due to the medication, as levothyroxine can improve fatigue and depression that are often associated with hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Bell's palsy is not caused by a bacterial infection; hence, antibiotics are not the primary treatment.
Choice B rationale: Corticosteroids like prednisone are often used to reduce inflammation and improve symptoms in Bell's palsy.
Choice C rationale: While vitamins can support overall health, they are not the primary treatment for Bell's palsy.
Choice D rationale: Surgery is not the primary treatment for Bell's palsy unless certain complications arise.
Correct Answer is A
Explanation
Choice A rationale: This is the correct answer. It corresponds to 300 mg of the drug ((300x 5)/250).
Choice B rationale: This is incorrect because it is too low. It is the amount of milliliters that corresponds to 200 mg of amoxicillin trihydrate, which is less than the prescribed dose of 300 mg.
Choice C rationale: This is incorrect because it is too low. It is the amount of milliliters that corresponds to 60 mg of amoxicillin trihydrate, which is not enough to treat an oral infection.
Choice D rationale: This is incorrect because it is too low. It is the amount of milliliters that corresponds to 250 mg of amoxicillin trihydrate, which is less than the prescribed dose of 300 mg.
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