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 C

Explanation

Cimetidine inhibits the cytochrome enzymes leading to increased blood concentration of other drugs like theophylline hence increased risk of toxicity. The dosage of the drugs should be lowered when one is on cimetidine.

A-Cimetidine should be taken with meals or at bedtime for more effective absorption and optimal therapeutic effect.

B. There is no specific duration mentioned for the treatment of duodenal ulcer with cimetidine.

D. Taking cimetidine with an antacid is not recommended as they decrease the absorption of cimetidine.

A. Palpitations B. Depression C. Blurred Vision D. Constipation

Correct Answer is B

Explanation

Montelukast is a leukotriene receptor antagonist used in the management of asthma and allergic rhinitis. Though rare, montelukast can cause neuropsychiatric adverse effects such as including depression, agitation and suicidal behaviors.
A, C, D- are not typically associated with use of montelukast

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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 teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client Who has asthma and a new prescription for montelukast. The nurse should instruct the client to report Which of the following adverse effects to the provider?

Correct Answer is B

Explanation

A nurse is providing teaching to a client Who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid Which of the following herbal supplements?

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