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 D

Explanation

A. Watery stool is not a typical sign of paralytic ileus; instead, bowel sounds are absent or hypoactive.

B. Oliguria (low urine output) is not directly related to paralytic ileus.

C. Dizziness is not a primary symptom of paralytic ileus.

D. This is the correct answer. Abdominal distention occurs due to the accumulation of gas and fluid in the intestines, which are unable to move due to ileus.

A. Report sudden, persistent headaches. B. Restrict fluid intake during times of stress. C. Apply cold compresses to painful areas. D. Avoid meningococcal immunizations.

Correct Answer is A

Explanation

A. Report sudden, persistent headaches. – Correct. Persistent headaches may indicate a stroke, a severe complication of sickle cell anemia due to vaso-occlusion.

B. Restrict fluid intake during times of stress. – Incorrect. Hydration is crucial to prevent sickling of red blood cells. Fluids should be increased, not restricted.

C. Apply cold compresses to painful areas. – Incorrect. Cold can cause vasoconstriction and worsen sickling. Warm compresses are recommended instead.

D. Avoid meningococcal immunizations. – Incorrect. Children with sickle cell anemia are at increased risk for infections and should receive all recommended vaccinations, including the meningococcal vaccine.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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