The nurse is caring for a patient with hypothyroidism who is prescribed levothyroxine.
Which assessment data indicates to the nurse that the medication has been effective?
Hypoventilation and hypoglycemia.
Intermittent episodes of angina and arrhythmias.
Weight gain of five pounds in one week.
Normal body temperature and pulse rate.
The Correct Answer is D
Choice A rationale
Hypoventilation and hypoglycemia are symptoms of untreated hypothyroidism rather than an indicator of effective levothyroxine treatment.
Choice B rationale
Angina and arrhythmias can occur if the dosage of levothyroxine is too high, indicating overmedication rather than effective treatment.
Choice C rationale
Weight gain is a sign of undertreated hypothyroidism and would indicate that the medication is not effective in managing the condition.
Choice D rationale
Normal body temperature and pulse rate indicate that levothyroxine is effectively managing the symptoms of hypothyroidism, as it restores metabolic function to normal levels. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Neutropenia is a common side effect of chemotherapy for prostate cancer. It involves a low neutrophil count, making patients more susceptible to infections.
Choice B rationale
Alopecia, or hair loss, is a frequent side effect of chemotherapy due to the treatment attacking rapidly dividing cells, including hair follicles.
Choice C rationale
Thrombosis, the formation of blood clots, is not a typical side effect of chemotherapy for prostate cancer. While cancer itself may increase clotting risk, chemotherapy is not directly linked to thrombosis.
Choice D rationale
Lymphadenopathy, the enlargement of lymph nodes, is not a common toxicity of chemotherapy. It may occur in cancer progression or other infections but not directly due to chemotherapy.
Choice E rationale
Infertility can result from chemotherapy as it can harm reproductive cells. Patients may need to discuss fertility preservation methods before starting treatment.
Correct Answer is C
Explanation
Choice A rationale
Wearing a dosimeter badge is essential for healthcare workers handling radioactive materials to monitor exposure, but it is not a standard practice for handling chemotherapy, which is typically not radioactive. Chemotherapy drugs are cytotoxic and require different safety measures, such as PPE.
Choice B rationale
While protecting patients during radiation therapy with a lead apron is necessary, it is not applicable for chemotherapy infusions. Chemotherapy involves the administration of cytotoxic drugs, not ionizing radiation, so protective measures focus on preventing exposure to these chemicals rather than shielding from radiation.
Choice C rationale
The nurse must wear personal protective equipment (PPE), including gloves and a gown, when handling chemotherapy to prevent exposure to these toxic drugs. PPE is crucial to protect healthcare workers from accidental spills, splashes, and skin contact with the chemotherapy agents, which can be harmful.
Choice D rationale
Disposal of chemotherapy waste should follow specific guidelines to prevent contamination and exposure. Sharps containers are for sharp objects like needles and blades, not for all chemotherapy waste. Chemotherapy waste should be disposed of in designated containers that comply with hazardous waste regulations to ensure safe handling and disposal.
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