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 D

Explanation

Choice A rationale: Metronidazole is not a beta-lactam antibiotic and does not typically cause cross-reactivity in individuals with penicillin allergies.
Choice B rationale: Clarithromycin is a macrolide antibiotic and is not associated with cross-reactivity in penicillin-allergic individuals.
Choice C rationale: Vancomycin is not a beta-lactam antibiotic and does not typically cause cross-reactivity in individuals with penicillin allergies.
Choice D rationale: Ceftriaxone belongs to the beta-lactam antibiotic class, which includes penicillins, and can potentially cause cross-reactivity in individuals with a history of anaphylactic reactions to penicillin.

A. Tinnitus B. Paresthesias C. Blurred vision D. Hematuria

Correct Answer is B

Explanation

A. Tinnitus, or ringing in the ears, is not a common adverse effect of ergotamine, though it may occur with some other medications used for migraines. Ergotamine primarily affects the blood vessels and nervous system.

B. Paresthesias, which involve tingling, numbness, or a burning sensation, can occur as an adverse effect of ergotamine due to its vasoconstrictive properties. Clients should be informed to report any unusual sensations in their extremities.

C. Blurred vision is not typically associated with ergotamine use. It could be a sign of another underlying condition or side effect from other medications but is not directly related to ergotamine.

D. Hematuria, or blood in the urine, is not a known adverse effect of ergotamine. The medication's effects are mainly related to the vascular system, not the kidneys or urinary tract.

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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 reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Correct Answer is D

Explanation

A nurse is providing teaching about the adverse effects of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching?

Correct Answer is B

Explanation

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