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 B

Explanation

hydrochlorothiazide is a thiazide diuretic which lowers blood pressure through inhibition of water reabsorption in the renal tubules. Like all diuretics, it should be taken early in the morning to avoid sleep interruption due to frequent urination.

A. muscle pain is an adverse effect of hydrochlorothiazide that should be reported.

C. therapeutic effect is monitored using blood pressure measurements

D. hydrochlorothiazide can be taken with or without food

A. Take an antacid with the medication if indigestion occurs B. Avoid flossing the teeth to prevent gum irritation C. Alcohol increases the chance of phenytoin toxicity. D. Phenytoin turns urine blue.

Correct Answer is C

Explanation

alcohol consumption affects liver metabolism due to injury to the hepatic parenchyma. Impairment of liver function interferes with the metabolism and clearance of phenytoin leading to increased risk of adverse effects.

A-antacids should be avoided as they decrease the absorption of phenytoin

B flossing teeth is important for maintaining oral hygiene reducing the risk of oral complications of phenytoin-induced gingival hyperplasia

D phenytoin does not cause changes in urine color

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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 providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

Correct Answer is C

Explanation

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