A nurse is caring for a client in an outpatient clinic.
Complete the following sentence by using the lists of options.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
- Decreased absorption: Levothyroxine should be taken on an empty stomach, typically 30–60 minutes before breakfast, to ensure optimal absorption in the gastrointestinal tract. Taking it with food or other medications, such as a multivitamin or esomeprazole, reduces its bioavailability and can blunt its therapeutic effect over time.
- Medication interactions: The client takes levothyroxine with multiple morning medications, including a multivitamin and esomeprazole. Calcium, iron, and proton pump inhibitors (like esomeprazole) interfere with levothyroxine absorption by altering stomach pH or binding the drug in the gut, increasing the risk for subtherapeutic effects.
- Toxicity: Toxicity is unlikely in this scenario because taking levothyroxine with food or interacting medications reduces, not enhances, absorption. This would more likely result in hypothyroid symptoms rather than hyperthyroidism.
- Goiter: Although poor thyroid hormone levels can eventually contribute to goiter development, this is a long-term effect of untreated or severe hypothyroidism and not an immediate concern linked to current medication timing.
- Lab results: The client’s TSH and free T4 levels are currently within normal range, suggesting stable thyroid function. The main issue is the administration timing and potential interactions, not an abnormal lab result.
- Dosage strength: The prescribed levothyroxine dosage (100 mcg) appears appropriate based on the current lab values. The problem lies in how the medication is taken rather than the dose itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Calculation
Total Volume to Infuse: 1,000 mL
Infusion Rate: 100 mL/hr
Start Time: 0700
- Calculate the Total Infusion Time
Total Time (hours) = Total Volume (mL) / Infusion Rate (mL/hr)
= 1,000 mL / 100 mL/hr
= 10 hours
- Calculate the Finish Time
Add the total infusion time to the start time.
Start Time: 0700
Infusion Duration: + 10 hours
Finish Time: 1700 (or 5:00 PM)
The nurse should expect to hang another bag of IV solution at 1700.
Correct Answer is A
Explanation
A. Respirations deep at a rate of 10/min: Morphine depresses the respiratory center in the brainstem, leading to hypoventilation. A respiratory rate of 10/min indicates early respiratory depression, which is the most life-threatening adverse effect and requires immediate intervention.
B. Vomiting 30 mL of fluid: Nausea and vomiting are common side effects of morphine but are not immediately life-threatening. They can be managed once airway and breathing are stable.
C. Blood pressure 90/60 mm Hg: Mild hypotension is a possible side effect of morphine due to vasodilation but is less critical than respiratory compromise. Monitoring and fluid support may be required, but it is not the priority.
D. Urinary output of 20 mL within 1 hr: Morphine may cause urinary retention, but this finding is not immediately life-threatening. It should be addressed after ensuring adequate ventilation and oxygenation.
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