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 A
Explanation
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.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale: Polypharmacy, the use of multiple medications, increases the risk of adverse drug reactions due to potential drug interactions and increased complexity in medication management for older adults.
Choice B rationale: The absorption rate generally decreases in older adults.
Choice C rationale: Multiple health problems can alter the pharmacokinetics and pharmacodynamics of drugs.
Choice D rationale: Decreased renal function can impair the excretion of drugs and their metabolites, leading to accumulation and toxicity.
Choice E rationale: Body fat percentage might impact drug distribution but is not directly a risk factor for adverse drug reactions.
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