A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

Hypoactive deep-tendon reflexes

Drowsiness

Insomnia

Constipation

Answer and Explanation

The Correct Answer is C

Rationale- Levothyroxine is a synthetic form of thyroxine. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism. An overdose of the medication causes symptoms which include insomnia, hyperactive tendon reflexes, diarrhea and anxiety

A, B, D- features of hypothyroidism

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Correct Answer is D

Explanation

Blood group type AB individuals are considered universal recipients and can receive blood from donors of any ABO blood type without experiencing an adverse reaction. Since the client has type AB blood and the unit of blood available is type B, there is no blood type incompatibility, and the nurse can safely administer the blood as ordered.
A. Completing an incident report is not necessary in this situation as there is no discrepancy or error.
B. There is no discrepancy in this scenario, so notifying the blood bank is unnecessary.
C. Contacting the provider for further orders is not required in this situation.

A. Tachycardia B. Oliguria C. Constipation D. Drowsiness

Correct Answer is A

Explanation

Theophylline is a potent bronchodilator with potential side effects including tachycardia, heart arrhythmias, diuresis, diarrhea and stimulation of the central nervous system.

B-Theophylline causes diuresis

C-Theophylline causes diarrhea

D-Theophylline causes insomnia, restlessness

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A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is providing discharge instructions to a client who has asthma and is about to Start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

Correct Answer is A

Explanation

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