A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate to the nurse that the medication is effective?

A. Dependent edema may occur in some cases of pericarditis but is not typically a priority finding compared to chest pain, which can indicate cardiac compromise.

B. A pericardial friction rub is a classic finding in pericarditis but is not necessarily the priority over the chest pain, which requires immediate attention.

C. A paradoxical pulse (pulse amplitude decreasing during inspiration) can occur in pericarditis but is not typically as concerning as substernal chest pain.

D. Substernal chest pain is a common and significant symptom of pericarditis, and assessing and managing the pain is a priority to ensure adequate cardiac function and alleviate discomfort.

A. Constipation can occur as a side effect of TPN due to decreased bowel motility, but it is not typically considered a serious complication.

B. Respiratory depression can occur as a complication of TPN, particularly if the solution contains high concentrations of dextrose or if the client has underlying respiratory issues.

C. Hypotension can occur as a complication of TPN if the solution is administered too rapidly, leading to fluid overload, but it is less common than respiratory depression.

D. Electrolyte imbalance, particularly hyperglycemia and hypertriglyceridemia, is a common complication of TPN, but it is less likely to cause immediate respiratory depression compared to other complications such as fluid overload.