study guide) Questions With Complete Solutions
A client on diabetic medication is prescribed Prednisone. What
medication change might the nurse anticipate?
An increased dosage of hypoglycemic medication.
Which symptoms indicate an acute overdose of Levothyroxine
(thyrotoxicosis)?
Insomnia, tachycardia, and hyperthermia (heat
intolerance/sweating), tremors, hypertension, agitation,
diaphoresis.
When should a patient take levothyroxine?
in the morning on an empty stomach
Levothyroxine is chemically identical to which natural
hormone?
Thyroxine (T_4).
Levothyroxine is the primary treatment for which endocrine
disorder?
Hypothyroidism.
What weight-related assessment is common in clients with
untreated hypothyroidism?
Weight gain, even without an increase in dietary intake.
What are signs and symptoms of patients with hypothyroidism?
, Fatigue, hypotension, bradychardia, weight gain, edema,
anorexia, cold intolerance. (LOW & SLOW = HYPO)
What should a patient with hypothyroidism add to their diet?
High fibers, fruits and fluids.
What dietary restriction is essential for clients taking
antithyroid medications?
Avoid iodine-containing foods.
Why should clients avoid iodine while on antithyroid drug
therapy?
Iodine may interfere with the effectiveness of the medication.
How long must a client typically remain on Levothyroxine
therapy?
It is a lifelong therapy.
Under what circumstances can a patient discontinue
Levothyroxine?
It cannot be discontinued, even if the patient feels better.
What is a key therapeutic response the nurse should monitor
for after starting Levothyroxine?
An increase in energy levels, energy, heart rate, and body
temperature.
nurse is explaining the purpose of epoetin alfa to a client. Which
of the following statements should the nurse make?
"This medication will give you more energy by increasing your
red blood cells."