A nurse is caring for a client who is taking levothyroxine for hypothyroidism.
Which of the following indicates the client's dose is too high?
Decreased temperature.
Hypotension.
Tachycardia.
Constipation.
The Correct Answer is C
Taking too much levothyroxine can cause side effects such as an elevated pulse1.
Choice A is not the answer because a decreased temperature is not a side effect of taking too much levothyroxine.
Choice B is not the answer because hypotension is not a side effect of taking too much levothyroxine.
Choice D is not the answer because constipation is not a side effect of taking too much levothyroxine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The client should remove the used patch with medication areas to the inside and discard it in a closed receptacle 1.
Choice B is incorrect because the nitroglycerin patch should not be kept in place for 24 hours per day.
Instead, it should be worn for 12 to 14 hours and then removed 12.
Choice C is incorrect because while it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1, there is no specific instruction to cleanse excess hair from the skin before applying the patch.
Choice D is incorrect because a second patch should not be applied if angina pain occurs.
Nitroglycerin transdermal patches are used to reduce the number of angina attacks over a long time and will not relieve an attack that has already started because it works too slowly 1.
Instead, the client should check with their doctor if they also need a fast-acting medicine to relieve the pain of an angina attack 1.
Correct Answer is ["50"]
Explanation
To calculate the flow rate in gtt/min, you need to divide the total volume of the IV fluid (400 mL) by the total infusion time in minutes (8 hours x 60 minutes/hour = 480 minutes) and then multiply by the drop factor of the manual IV tubing (60 gtt/mL).
This gives you a flow rate of (400 mL / 480 minutes) x 60 gtt/mL = 50 gtt/min.
The other choices are not answers because they are not provided in the question.
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