Synthroid 0.3 mg p.o. daily is ordered. You have Synthroid in 150 mcg tablets. Give tablets.

Answer and Explanation

The Correct Answer is ["2"]

One mg is equal to 1000 mcg, so 0.3 mg is equal to 300 mcg.

Then, the nurse has to divide the ordered dose by the available dose.

300 mcg divided by 150 mcg is equal to 2.

Therefore, the nurse has to give 2 tablets of Synthroid 150 mcg p.o. daily.

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Correct Answer is D

Explanation

A. Drowsiness is not a typical manifestation of thyrotoxicosis. Instead, individuals with thyrotoxicosis often experience restlessness and anxiety due to excessive thyroid hormone levels.

B. Dry skin is more commonly associated with hypothyroidism (insufficient thyroid hormone levels), rather than thyrotoxicosis (excessive thyroid hormone levels).

C. Bradycardia (slower than normal heart rate) is a symptom of hypothyroidism, not thyrotoxicosis. In thyrotoxicosis, tachycardia (an abnormally rapid heart rate) is a common finding.

D. Correct. Heat intolerance is a classic symptom of thyrotoxicosis. Excessive thyroid hormone levels can lead to an increased metabolic rate, making individuals more sensitive to heat.

A. Check the pedal pulses. B. Request prescription for a relaxant. C. Verify the most recent calcium level. D. Administer an oral potassium supplement.

Correct Answer is C

Explanation

A. Checking the pedal pulses is important for assessing circulation, but it may not directly address the cause of the muscle spasms. In this case, addressing the electrolyte imbalance is a higher priority.

B. Requesting a relaxant might provide temporary relief for muscle spasms, but it does not address the potential underlying cause. It's important to identify and treat the root issue.

C. Correct. Severe muscle spasms in a client post-thyroidectomy could indicate hypocalcemia, as the parathyroid glands, which regulate calcium levels, can be affected during the surgery. Verifying the most recent calcium level will help determine if this is the cause.

D. Administering an oral potassium supplement addresses a different electrolyte imbalance (hypokalemia), which is not typically associated with muscle spasms following a thyroidectomy. Calcium levels are more relevant in this context.

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Synthroid 0.3 mg p.o. daily is ordered. You have Synthroid in 150 mcg tablets. Give tablets.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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