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 C
Explanation
Choice A rationale: The client's skin temperature will decrease as the thyroid hormone levels decrease and the metabolic rate slows down.
Choice B rationale: The client's heart rate will decrease as the thyroid hormone levels decrease and the cardiac output decreases.
Choice C rationale: The client's sleep pattern will improve as the thyroid hormone levels decrease and the nervous system becomes less stimulated.
Choice D rationale: The client's weight will increase as the thyroid hormone levels decrease and the appetite increases.
Correct Answer is D
Explanation
Choice A rationale: TPN cannot be administered subcutaneously due to its composition.
Choice B rationale: Intraosseous access is for emergency situations when IV access isn't attainable.
Choice C rationale: A midline catheter might not be suitable for the hypertonic nature of TPN and can lead to complications.
Choice D rationale: Total parenteral nutrition (TPN) is a hypertonic solution that requires infusion into a large vein. The central venous access device allows for high-flow rates and avoids irritation or damage to smaller peripheral veins.
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