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. Temperature: 37.2°C (99.0°F) is within the normal range.
B. Respiratory rate: 28/min is elevated but expected in COPD.
C. An SpO₂ of 88% indicates significant hypoxemia in a client with COPD, which requires immediate intervention. Oxygen therapy may be needed to maintain a target saturation of 88–92%.
D. pH: 7.22 indicates respiratory acidosis but is consistent with COPD and requires monitoring rather than immediate notification.
Correct Answer is C
Explanation
A. Wire cutters – These are used in clients with wired jaws, not for chest tube management.
B. Tracheostomy tray – This is necessary for airway emergencies but is not specific to chest tube management.
C. Padded clamp – This is the correct answer because a padded clamp is used to assess for air leaks, check chest tube patency, or temporarily clamp the tube if needed during troubleshooting or before removal.
D. Sand bag – A sandbag is not necessary for a client with a chest tube; it is more commonly used for stabilizing orthopedic injuries.
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