A client is started on levothyroxine for the treatment of hypothyroidism. During client teaching, the nurse indicates that the dosage may be increased how often until symptoms are relieved?
Weekly
Monthly
Every 3 to 5 days
Every 4 to 6 weeks
The Correct Answer is D
A. Weekly – This frequency is too frequent for dosage adjustments of levothyroxine. Adjustments are generally made less frequently to allow for the medication to reach therapeutic levels.
B. Monthly – While some adjustments may be made on a monthly basis, this is not the typical recommendation.
C. Every 3 to 5 days – This is also too frequent for dosage adjustments as it may not allow enough time to assess the effects of the current dose.
D. Every 4 to 6 weeks – This is the correct recommendation for adjusting levothyroxine dosages. After starting therapy or adjusting the dose, it is advised to wait 4 to 6 weeks before evaluating thyroid function tests and making any further adjustments to the dosage, as it takes time for the medication to take effect.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Schizophrenia is a chronic and severe mental illness that requires lifelong treatment. Antipsychotic medications are the cornerstone of treatment for schizophrenia, and they work by blocking dopamine receptors in the brain. These medications are effective in reducing the positive symptoms of schizophrenia, such as hallucinations and delusions, and can also improve negative symptoms like apathy and lack of motivation.
While chlorpromazine, fluphenazine, and haloperidol are all first-generation or "typical" antipsychotic medications, they are less commonly used today due to their side effect profile, which can include movement disorders such as tardive dyskinesia. Olanzapine, on the other hand, is a second-generation or "atypical" antipsychotic medication that is commonly used today due to its efficacy in treating both positive and negative symptoms of schizophrenia, as well as its more favorable side effect profile compared to first-generation antipsychotics.
Correct Answer is B
Explanation
When using an insulin pump, the best site for inserting the infusion set is in the abdomen. This is because the abdomen has a higher amount of subcutaneous fat and a larger surface area, which allows for better absorption of the insulin. In addition, the abdomen is more accessible and easier to reach for self-insertion, and it also allows for better flexibility and comfort for the patient during daily activities.
It is important to rotate the infusion set insertion sites within the abdomen to avoid tissue damage and to ensure consistent absorption. Other sites, such as the hip, thigh, or deltoid, may be used but are generally not recommended due to the potential for slower absorption, tissue damage, and discomfort for the patient
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