While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medications to be included in the patient's medication list?
prophylactic
replacement
palliative
curative
The Correct Answer is B
A. Prophylactic: Prophylactic medications are preventive, which is not relevant in the treatment of hypothyroidism.
B. Replacement: The treatment for hypothyroidism involves replacing the deficient thyroid hormone with synthetic hormones like levothyroxine.
C. Palliative: Palliative care is not the standard approach for hypothyroidism. The focus is on hormone replacement therapy.
D. Curative: There is no cure for hypothyroidism, so curative therapy is not applicable.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hemoglobin 12 mg/dL: Hemoglobin levels reflect the oxygen-carrying capacity of the blood and are not directly related to kidney function or medication dosage adjustments. This value is within the normal range and does not suggest a need for medication dosage changes.
B. Glucose 100 mg/dL: Blood glucose levels are not directly related to kidney function and do not indicate the need to adjust medication dosages. This value is within normal limits.
C. Creatinine 8 mg/dL: Creatinine levels are a key indicator of kidney function. A creatinine level of 8 mg/dL is significantly elevated, suggesting severe renal impairment. Medications that are excreted by the kidneys may need to be dosed lower or avoided altogether to prevent toxicity.
D. Potassium 4.0 mEq/L: This is a normal potassium level and does not indicate the need for medication dosage adjustments. While potassium levels are important in kidney disease, this specific value does not suggest a dosage change is necessary.
Correct Answer is A
Explanation
A. Therapeutic level: This is the correct answer. It refers to the concentration of a drug in the bloodstream at which it achieves the desired effect without causing toxicity.
B. Therapeutic index: This is a ratio that compares the toxic dose to the therapeutic dose of a drug. It does not refer to the point of optimal effect.
C. Toxic level: This refers to the concentration of a drug at which it becomes harmful or toxic. It is not associated with the desired effect.
D. Therapeutic range: This refers to the range between the minimum effective concentration and the toxic concentration of a drug. It does not pinpoint the optimal effect but indicates the safe range.
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