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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Determine factors that led to the omission: While determining the factors that led to the omission is important for preventing future errors, it is not the immediate priority when a medication has been missed. Assessing the client for adverse reactions takes precedence to ensure their safety and well-being.
B. Assess the client for adverse reactions: Assessing the client for adverse reactions is the immediate priority when a medication has been missed. This allows the nurse to promptly identify any potential harm or complications resulting from the missed dose and take appropriate actions to mitigate them.
C. Report the missed dosage to the client's provider: Reporting the missed dosage to the client's provider is important for documentation and continuity of care, but it should follow the assessment of the client for adverse reactions. Immediate assessment of the client's condition takes precedence to address any immediate concerns.
D. File an incident report: Filing an incident report is necessary for documenting the missed dosage and analyzing the factors that contributed to the error. However, it should be done after assessing the client for adverse reactions and reporting the incident to the provider. The incident report helps in identifying system issues and implementing measures to prevent similar errors in the future.
Correct Answer is B
Explanation
Choice A rationale: Hydrochlorothiazide does not typically cause hypocalcemia.
Choice B rationale: Hydrochlorothiazide is a diuretic that can cause potassium loss.
Hypokalemia (low potassium levels) is an adverse effect that needs monitoring due to its potential to exacerbate heart failure and lead to various complications.
Choice C rationale: Hydrochlorothiazide is more associated with hyponatremia rather than hypernatremia.
Choice D rationale: Hydrochlorothiazide is not linked to causing hypermagnesemia.
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