A nurse is providing education about levothyroxine to a client diagnosed with primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

"Tremors, nervousness, and insomnia may indicate your dose is too high."

"Notify your healthcare provider if you begin to lose weight."

"This medication will require monitoring for increased risk for bleeding."

"The medication decreases the overproduction of the thyroid hormone thyroxine."

Answer and Explanation

The Correct Answer is A

A. Levothyroxine is a thyroid hormone replacement used to treat hypothyroidism. Symptoms such as tremors, nervousness, and insomnia can indicate that the dose is too high, as these are signs of hyperthyroidism.
B. Weight loss is not a typical reason to notify the healthcare provider unless it is accompanied by other symptoms of hyperthyroidism. Monitoring for symptoms of excessive thyroid hormone can be more critical.
C. Levothyroxine does not typically require monitoring for an increased risk of bleeding. This medication primarily affects thyroid hormone levels and does not have a direct impact on blood clotting.
D. Levothyroxine increases, rather than decreases, thyroid hormone levels. It is used to replace or supplement thyroid hormone in the case of hypothyroidism, not to decrease thyroid hormone production.

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Correct Answer is C

Explanation

A. The treatment for vancomycin-resistant enterococcus (VRE) in a previous admission is not directly related to the development of CLABSI in the current situation. The infection is more likely caused by improper handling or maintenance of the central line.
B. Drawing blood cultures from the central line, while not ideal, is not the most likely cause of CLABSI. Proper technique can mitigate the risk of introducing infection during this procedure.
C. Changing the central line dressing using clean technique instead of sterile technique increases the risk of introducing pathogens to the central line site, leading to a central line-associated bloodstream infection (CLABSI).
D. Receiving antibiotics and intravenous fluids through the same line does not typically cause CLABSI if the line is properly maintained and sterile techniques are observed during administration.

A. Restrict the client's intake of sodium. B. Administer vitamin K. C. Reduce the client's intake of protein. D. Administer diuretics.

Correct Answer is C

Explanation

A. Restricting sodium intake is essential in managing ascites and edema in cirrhosis, but it does not directly reduce ammonia levels. Sodium restriction is more related to fluid management rather than ammonia reduction.
B. Administering vitamin K may be necessary for correcting coagulation issues in liver disease, but it does not address the elevated ammonia levels causing encephalopathy.
C. Reducing protein intake is crucial for decreasing ammonia production. In clients with hepatic encephalopathy, proteins are broken down into ammonia, which the impaired liver cannot detoxify effectively, leading to worsened symptoms. Therefore, reducing dietary protein can help lower ammonia levels.
D. Administering diuretics is used to manage fluid retention and ascites in cirrhosis, but it does not directly impact ammonia levels. Diuretics are not the primary intervention for hepatic encephalopathy.

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A nurse is providing education about levothyroxine to a client diagnosed with primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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