A nurse is caring for a client who received prochlorperazine (Compazine) via intravenous push (IVP) 2 hours ago for nausea/vomiting PRN. The nurse noted that the client had a sudden onset of involuntary spasms of the face and neck along with anxiety. The nurse should anticipate a prescription for which of the following medications? (Select All That Apply.).

A. Lipohypertrophy – This is correct. Lipohypertrophy is the thickening of subcutaneous fat that can occur from repeated insulin injections at the same site. This can interfere with insulin absorption, leading to inconsistent glucose control. Rotating injection sites prevents this complication and ensures even absorption of insulin.

B. Injection pain – This is incorrect. Injection pain is typically related to technique or needle size rather than the location. Rotating injection sites does not specifically address this issue.

C. Rapid absorption – This is incorrect. Rotating injection sites does not necessarily prevent rapid absorption but ensures more consistent absorption rates.

D. Intradermal injection – This is incorrect. Intradermal injection occurs when the needle is not inserted deep enough, unrelated to rotating injection sites.

A. Hypothyroidism: This is incorrect. The client is taking levothyroxine (Synthroid) to treat hypothyroidism, and the symptoms described (diarrhea, weight loss, palpitations, heat intolerance) are more likely associated with excess thyroid hormone, not a lack of it.

B. Thyrotoxicosis: This is correct. The symptoms the client is experiencing—diarrhea, weight loss, palpitations, and heat intolerance—are classic signs of thyrotoxicosis, which occurs when there is an excess of thyroid hormone, possibly due to overtreatment with levothyroxine. These symptoms indicate that the thyroid hormone dose might need adjustment.

C. Addison's Disease: This is incorrect. Addison's disease is characterized by insufficient production of adrenal hormones and would typically manifest with symptoms such as fatigue, hypotension, and hyperpigmentation, not diarrhea or heat intolerance.

D. Cushing's Disease: This is incorrect. Cushing's disease is caused by excess cortisol and would typically result in symptoms such as weight gain, high blood pressure, and a round "moon" face, rather than the symptoms described in the question.