A nurse is caring for a client who is taking levothyroxine. Which of the following findings should the nurse identify as an adverse effect?
Depression
Weight loss
Cold intolerance
Constipation
The Correct Answer is B
Choice A reason: Depression is not an adverse effect of levothyroxine. In fact, untreated hypothyroidism can cause depressive symptoms, which typically improve with appropriate thyroid hormone replacement.
Choice B reason: Weight loss is the correct answer because levothyroxine increases metabolic rate. Excessive dosing or sensitivity to the medication can lead to hyperthyroid-like symptoms, including weight loss, tachycardia, anxiety, and heat intolerance.
Choice C reason: Cold intolerance is a symptom of hypothyroidism, not an adverse effect of levothyroxine. Proper dosing should alleviate cold intolerance rather than cause it.
Choice D reason: Constipation is also a symptom of hypothyroidism. Levothyroxine therapy generally improves bowel motility. Constipation is not considered an adverse effect of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Choosing foods with saturated fat instead of monounsaturated fat is incorrect. Saturated fats increase cardiovascular risk and should be limited. Monounsaturated fats, such as those found in olive oil and avocados, are healthier options during pregnancy.
Choice B reason: Consuming only 30 grams of protein per day is insufficient. Pregnant clients require about 71 grams of protein daily to support fetal growth, maternal tissue expansion, and increased blood volume.
Choice C reason: Avoiding soft cheeses is correct because they can harbor Listeria monocytogenes, which poses a risk of miscarriage, stillbirth, or neonatal infection. Pregnant clients should avoid unpasteurized dairy products to reduce infection risk.
Choice D reason: Limiting caffeine intake to 500 mg per day is too high. The recommended limit is about 200 mg per day to reduce risks of miscarriage, low birth weight, and preterm birth.
Correct Answer is A
Explanation
Choice A reason: Clients receiving radiation therapy should use gentle methods to clean the treatment area, such as a soft washcloth, to avoid irritating the skin. The skin in the treatment field is highly sensitive and prone to breakdown, so gentle care is essential.
Choice B reason: Dye markings are used to guide radiation therapy and must remain intact throughout the course of treatment. Removing them would interfere with accurate targeting of the radiation beam.
Choice C reason: While avoiding sun exposure is generally good advice, the specific instruction for radiation therapy is to protect the treatment area from trauma and irritation. Sun avoidance is important, but the more direct teaching point is gentle cleansing.
Choice D reason: Clothing should not rub or irritate the treatment area. Loose, soft clothing is recommended, but simply wearing clothing over the area is not the key teaching point. The priority is protecting the skin from irritation and maintaining the markings.
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