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”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Warfarin is an oral anticoagulant medication and is not administered subcutaneously.
The nurse should clarify this prescription with the provider before administering it.
Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.
Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.
Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.
Correct Answer is B
Explanation
Acetaminophen is metabolized by the liver and can cause liver damage when taken in large doses or for a prolonged period of time.
Someone with an alcohol use disorder may already have a compromised liver, and combining acetaminophen with more alcohol can worsen the risk of irreparable damage.
Choice A is wrong because Hypothyroidism, is not a contraindication for acetaminophen use.
Choice C is wrong because Recurrent headaches, is not a contraindication for acetaminophen use.
Choice D is wrong because BP 92/60 mm Hg, is not a contraindication for acetaminophen use.
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