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 D
Explanation
A. Switch to a lactose-free formula – A lactose-free formula is necessary for clients with lactose intolerance but does not address the issue of hyperosmolar dehydration, which results from insufficient free water intake rather than intolerance to lactose.
B. Reposition the NG tube – Repositioning the tube is necessary if there is displacement, but it does not treat dehydration caused by hyperosmolar feedings.
C. Increase the rate of formula delivery – Increasing the rate can worsen dehydration by further increasing the solute load, leading to a greater fluid shift from intracellular to extracellular spaces.
D. Add water to the formula – This is the correct answer because hyperosmolar dehydration occurs when high-solute enteral formulas pull water into the intestines, leading to excessive fluid loss. To prevent this, the nurse should ensure the client receives adequate free water flushes alongside tube feedings.
Correct Answer is C
Explanation
A. Crispy foods like rice bars can be difficult to swallow and increase the risk of aspiration.
B. Dry foods such as soda crackers require excessive chewing and can be a choking hazard.
C. This is the correct answer. Scrambled eggs have a soft, moist texture that is easy to chew and swallow, making them a good option for clients with dysphagia.
D. Peanut butter is thick and sticky, making it difficult to swallow and increasing aspiration risk.
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