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
Choice A rationale: Lovastatin's primary concern is not related to cardiac function to necessitate an exercise ECG.
Choice B rationale: Lovastatin belongs to a class of drugs known as statins used to lower cholesterol levels. As statins can affect liver function, monitoring liver enzymes through liver function tests is recommended before starting therapy and periodically during
treatment.
Choice C rationale: Lovastatin does not directly affect pancreatic enzymes.
Choice D rationale: Western blot analysis is a technique used for protein analysis and is not relevant to starting lovastatin therapy.
Correct Answer is C
Explanation
Choice A rationale: This prescription indicates a single dose, which seems appropriate for its use.
Choice B rationale: Penicillin G is usually administered in divided doses 4 to 6 hours apart intramuscularly.
Choice C rationale: The nurse should clarify the prescription for warfarin with the provider before administering it. Warfarin is an anticoagulant that is usually given orally, not subcutaneously. The dose of warfarin is also measured in milligrams, not units. The nurse should verify the route, dosage, and frequency of warfarin with the provider to prevent adverse effects such as bleeding or clotting.
Choice D rationale: The frequency and dosage of Tetracycline are standard and within the typical range for treatment.
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