A nurse is assessing a client who is receiving levothyroxine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?

Decrease in body temperature

Increase in energy

Increase in weight

Decrease in appetite

Answer and Explanation

The Correct Answer is B

Choice A reason: Decreased body temperature reflects hypothyroidism; levothyroxine raises metabolism, normalizing or increasing temperature, so this isn’t a therapeutic response.

Choice B reason: Increased energy occurs as levothyroxine restores thyroid hormone, boosting metabolism, reversing hypothyroidism’s fatigue, a key sign of effective treatment.

Choice C reason: Weight gain contradicts levothyroxine’s effect; it increases metabolism, aiding weight loss or stabilization, not gain, in hypothyroidism treatment.

Choice D reason: Decreased appetite isn’t typical; levothyroxine may normalize appetite as metabolism rises, not suppress it, differing from hypothyroidism’s effects.

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Correct Answer is C

Explanation

Choice A reason: Radioactive iodine treats hyperthyroidism by destroying thyroid tissue, reducing hormone production. It’s contraindicated in hypothyroidism, where hormone replacement is needed instead.

Choice B reason: Sumatriptan, a serotonin agonist, treats migraines by constricting blood vessels. It has no role in hypothyroidism, which requires thyroid hormone supplementation.

Choice C reason: Levothyroxine replaces deficient thyroid hormone in hypothyroidism, normalizing metabolism by mimicking T4, addressing symptoms like fatigue and weight gain effectively.

Choice D reason: Levofloxacin, an antibiotic, fights bacterial infections but doesn’t address hypothyroidism’s hormonal deficiency, making it irrelevant to this condition’s treatment.

A. A client with an intestinal obstruction whose nasogastric tube has drained 150 mL in 8 hours B. A client with ascites who has a respiratory rate of 26 and oxygen saturation level of 90% C. A client with acute pancreatitis who has decreased breath sounds with increased crackles D. A client with stable esophageal varices and a blood pressure of 92/45

Correct Answer is A

Explanation

Choice A reason: 150 mL NG drainage in 8 hours is low for obstruction, suggesting stability; it’s less urgent than respiratory compromise in other clients.

Choice B reason: Respiratory rate 26 and 90% saturation indicate distress in ascites, but crackles suggest fluid overload, less acute than pancreatitis’s pulmonary risk.

Choice C reason: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening complication, prioritizing immediate respiratory assessment.

Choice D reason: BP 92/45 with stable varices is concerning but not acutely unstable without bleeding signs, less critical than respiratory failure in pancreatitis.

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A nurse is assessing a client who is receiving levothyroxine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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