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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "I will make sure that we respect your right to refuse medications." – This response respects the client's autonomy and reassures them that their rights will be upheld.

B. "You will need to rest so that you can recover from the episode that brought you here." – This statement dismisses the client's concerns rather than addressing them.

C. "Why do you think your provider will prescribe you medications that will make you sleep?" – While open-ended questions can encourage discussion, this does not directly reassure the client about their rights.

D. "It's not your choice to be here, so you have to accept the treatment we plan for you." – This statement is inappropriate and disregards the client's legal rights.

A. "Picture taking the stress you feel and pushing it down and out of your feet." B. "Focus on a pleasant memory and express your emotions in writing." C. "Think about a positive outcome to a stressful situation." D. "Tighten a muscle group, then release the tension and move to the next one."

Correct Answer is D

Explanation

A. This describes guided imagery, not progressive muscle relaxation.

B. Writing about emotions is a therapeutic strategy but not progressive relaxation.

C. Thinking about positive outcomes is a cognitive technique, not a physical relaxation method.

D. This is the correct answer. Progressive relaxation involves systematically tightening and relaxing muscle groups, which helps reduce stress and anxiety.

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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?

Nursing Test Bank

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