A nurse is teaching a client who has a new prescription for levothyroxine (T4) about thyrotoxicosis. The nurse should instruct the client to monitor and report which of the following findings?
Weight gain
Bradycardia
Fever
Drowsiness
The Correct Answer is C
A. Weight gain is a sign of hypothyroidism, not thyrotoxicosis.
B. Bradycardia is associated with hypothyroidism, whereas thyrotoxicosis causes tachycardia.
C. This is the correct answer. Fever is a symptom of thyrotoxicosis, which results from excessive thyroid hormone levels, leading to hypermetabolism. Other signs include tachycardia, anxiety, heat intolerance, and weight loss.
D. Drowsiness is more commonly associated with hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weigh the client every 48 hr. – Clients with anorexia nervosa should be weighed daily at the same time to monitor for fluctuations in weight and refeeding complications.
B. Allow the client to eat meals in his room. – Clients should eat meals in a monitored dining area to prevent food hoarding, purging, or avoidance of meals.
C. Observe the client for 1 hr after meals. – This is the correct answer because clients with anorexia nervosa are at risk of purging or excessive exercise after meals. Close observation helps prevent these behaviors.
D. Obtain the client’s vital signs every other day. – Vital signs should be monitored daily or more frequently if the client is medically unstable.
Correct Answer is C
Explanation
A. A hemoglobin level of 12 g/dL is within the expected range for an infant.
B. An iron level of 74 mcg/dL is normal for a 9-month-old.
C. This is the correct answer. A lead level of 18 mcg/dL is elevated (≥5 mcg/dL is concerning) and should be reported, as lead toxicity can lead to neurological damage.
D. A hematocrit of 35% is within the expected range for an infant.
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