A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months.
Which of the following statements by the client indicates a therapeutic response to the medication?

"I am taking a laxative for constipation”

"I have noticed I'm not as cold as I use to be”

"I am losing weight without dieting”

"I seem to be sleeping more than usual”

Answer and Explanation

The Correct Answer is B

Levothyroxine is a thyroid hormone medicine used to treat hypothyroidism (low thyroid hormone)1.

It works by replacing thyroid hormone that is normally produced by the body.

Cold intolerance is a common symptom of hypothyroidism2, so if the client reports that they are not as cold as they used to be, it indicates that the medication is working and their hormone levels are returning to a healthy range.

Choice A is wrong because constipation is a common symptom of hypothyroidism2, so taking a laxative for constipation does not indicate a therapeutic response to the medication.

Choice C is wrong because weight loss without dieting can be a side effect of taking too much levothyroxine.

Choice D is wrong because sleeping more than usual can be a symptom of hypothyroidism2, so it does not indicate a therapeutic response to the medication.

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Correct Answer is A

Explanation

Nasal cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia.

It is typically administered once per week into one nostril.

Choice B is wrong because there is no need to lie down for 1 hour after administering the medication.

Choice C is wrong because using a nasal decongestant before administering the medication is not necessary and may interfere with the absorption of the medication.

Choice D is wrong because the duration of treatment with nasal cyanocobalamin varies and should be determined by the provider based on the client’s individual needs.

A. Return the medications to the pharmacy. B. Flush the medications down the toilet. C. Place the medications back in the medication cart. D. Notify the provider about the expired medications.

Correct Answer is A

Explanation

Expired medications should not be used and should be disposed of properly. The best way to do this is to return them to the pharmacy for proper disposal.
Choice B is wrong because flushing medications down the toilet can contaminate the water supply and harm the environment.
Choice C is wrong because expired medications should not be placed back in the medication cart as they may accidentally be used.
Choice D is wrong because notifying the provider about expired medications is not necessary as it is the responsibility of the nurse to properly dispose of them.

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A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is teaching a newly licensed nurse about expired medications. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months.
Which of the following statements by the client indicates a therapeutic response to the medication?