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

"I am taking a laxative for constipation."

"I am losing weight without dieting."

"I seem to be sleeping more than usual."

Answer and Explanation

The Correct Answer is A

Choice A rationale: Improved sensitivity to cold is a common symptom alleviated by levothyroxine in hypothyroidism, indicating a therapeutic response to the medication.
Choice B rationale: Constipation might improve with levothyroxine, but it is not a direct indicator of a therapeutic response.
Choice C rationale: Weight loss might occur due to corrected metabolic processes but isn't the most specific indicator of a therapeutic response.
Choice D rationale: Increased sleep might be due to various factors and may not directly correlate with a therapeutic response to levothyroxine.

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Correct Answer is B

Explanation

A. Taking ferrous gluconate with milk is not advised because calcium in milk can interfere with the absorption of iron. The client should avoid taking iron supplements with calcium-containing products.

B. Staying upright for at least 15 minutes after taking ferrous gluconate can help prevent esophageal irritation or discomfort. This instruction is crucial for iron supplements, as lying down immediately after ingestion can cause reflux or esophagitis.

C. Taking an antacid with ferrous gluconate can reduce its absorption. The client should be advised to avoid taking antacids, calcium supplements, or certain medications close to the time of iron intake.

D. Black stools are a common and harmless side effect of iron supplementation. The client should be informed that this is expected and not a reason to notify the provider unless there are additional concerning symptoms, such as abdominal pain or constipation.

A. Monitor the client for hypotension. B. Instruct the client to obtain annual immunizations. C. Instruct the client to consume a diet high in calcium. D. Monitor the client frequently for episodes of hypoglycemia.

Correct Answer is C

Explanation

Choice A rationale: Hypotension is not a common side effect of prednisone use.
Choice B rationale: Prednisone can also suppress the immune system, so the client should avoid immunizations that contain live viruses or bacteria.
Choice C rationale: Prednisone is a corticosteroid that can cause osteoporosis and increase the risk of fractures in long-term use. Therefore, the nurse should instruct the client to consume a diet high in calcium and vitamin D to prevent bone loss and promote bone health.
Choice D rationale: Prednisone use is more likely to cause hyperglycemia rather than hypoglycemia.

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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 a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

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Correct Answer is C

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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?