A nurse is preparing to administer medication to a client.
Which of the following identifiers should the nurse use to identify the client?

Choice A rationale: Residual limb bandages should be rewrapped multiple times daily to maintain compression, but a circular pattern is contraindicated. A figure-eight wrapping technique must be used to prevent a tourniquet effect and to properly shape the limb for a future prosthesis.

Choice B rationale: Postoperative clients should be turned at least every 2 hours, not every 4 hours, to prevent pressure injuries and pulmonary complications. Frequent repositioning is a standard nursing intervention for any patient with limited mobility.

Choice C rationale: An overbed trapeze allows the client to use their upper body strength to reposition themselves, lift their hips, and move in bed. This promotes independence, maintains muscle tone, and reduces the risk of skin breakdown from shearing during manual repositioning.

Choice D rationale: While an air mattress can help with pressure redistribution, it is not the primary or most specific intervention for a client 12 hours after an amputation. The focus at this stage is on limb shaping, pain management, and safe mobility.

Choice A rationale

Drowsiness is a symptom of hypothyroidism, not hyperthyroidism (thyrotoxicosis). Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. An overdose or excessive dose of this medication would lead to symptoms of hyperthyroidism, which is the opposite of drowsiness. Instead, clients would likely experience increased energy levels, anxiety, or insomnia.

Choice B rationale

Weight gain is a classic symptom of hypothyroidism, not thyrotoxicosis. When the body's metabolism slows down due to insufficient thyroid hormone, the client may gain weight. A client experiencing thyrotoxicosis from an excessive dose of levothyroxine would typically exhibit a hypermetabolic state, which often leads to unintended weight loss despite an increased appetite.

Choice C rationale

A fever is a sign of an accelerated metabolic rate, which is a key feature of thyrotoxicosis. When thyroid hormone levels become excessively high, the body's basal metabolic rate increases significantly, causing an increase in body temperature. This can manifest as a low-grade fever or even a significant fever in severe cases, requiring immediate medical attention.

Choice D rationale

Bradycardia, or a slow heart rate, is a symptom of hypothyroidism. The heart rate slows down as the body's overall metabolic processes decrease. Thyrotoxicosis is characterized by a rapid heart rate, known as tachycardia. This is due to the excessive stimulation of the cardiovascular system by high levels of thyroid hormone. A normal heart rate is typically between 60 and 100 beats per minute. .