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

In liver cirrhosis, the impaired liver function leads to increased levels of ammonia in the blood. Such high levels can lead to hepatic encephalopathy. Use of lactulose promotes excretion of ammonia through acidification of ammonia to ammonium ions which are not readily absorbed into the blood stream.
A, B, D- Lactulose does not affect potassium, glucose and bicarbonate levels in the bloodstream.

A. Pull the auricle down and out. B. Pull the auricle down and back. C. Pull the auricle up and out. D. Pull the auricle up and back.

Correct Answer is B

Explanation

pulling the auricle down and back, is recommended for pediatric clients for proper visualization. It also helps prevent the eardrops from pooling at the entrance of the ear canal, allowing them to flow more effectively into the ear.

A, pulling the auricle down and out is not recommended as it may lead to pooling of the drop and spillage

CThis is not recommended in children

D Pulling the auricle up and back is recommended for adults.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is preparing to instill eardrops to a 5-year-old child. Which of the following techniques should the nurse use?

Correct Answer is B

Explanation

A nurse is providing teaching to a client Who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

A nurse is providing teaching to a client Who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis. Which of the following techniques should the nurse use?

A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide?

A nurse in a provider's clinic is assessing a client Who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for Which of the following potential adverse effects of this medication?