A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication? a) I am losing weight without dieting b) I seem to be sleeping more than usual c) I have noticed I'm not cold as I used to be
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a) I am losing weight without dieting
b) I seem to be sleeping more than usual
c) I have noticed I'm not cold as I used to be
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- When administering beta blockers, the nurse will follow which guideline for administration and monitoring?a) The drug may be discontinued at any time.b) Postural hypotension rarely occurs with this drug.c) Tapering off the medication is necessary to prevent rebound hypertension.d) The patient needs to stop taking the medication at once if he or she gains 3 to 4 pounds in a weekThe nurse is assessing a patient who has been taking quinidine and asks about adverse effects. An adverse effect associated with the use of this drug includes: a )muscle pain.b )tinnitus.c )chest pain.d )excessive thirstA patient with a history of type 2 diabetes presents to the emergency department with symptoms of diabetic ketoacidosis (DKA), including polyuria, polydipsia, and fruity breath odor. The nurse anticipates implementing which priority intervention? a) Administering insulin intravenously b) Administering intravenous fluids and electrolytes c) Administering bicarbonate therapy d) Administering antidiabetic medications
- A nurse is educating a patient with newly diagnosed type 2 diabetes mellitus about self-management of their condition. Which of the following pieces of advice is most critical for the nurse to convey to the patient to prevent acute complications?A) Inspect your feet daily for any cuts, blisters, or sores.B) Maintain a regular exercise routine, aiming for at least 150 minutes of moderate aerobic activity per week.C) Monitor your blood glucose levels at home using a glucometer.D) Make dietary changes to include a variety of fruits, vegetables, and whole grains.A hospitalized patient is complaining of having difficulty sleeping. Which action will the nurse take first to address this problem?a )Administer a sedative-hypnotic drug if ordered.b )Offer tea made with the herbal preparation valerian.c )Encourage the patient to exercise by walking up and down the halls a few times if tolerated.d )Provide an environment that is restful, and reduce loud noises.The nurse has provided patient education regarding therapy with the SERM raloxifene (Evista). Which statement from the patient reflects a good understanding of the instruction? a) “When I take that long flight to Asia, I will need to stop taking this drug at least 3 days before I travel.”b) “I can continue this drug even when traveling as long as I take it with a full glass of water each time.”c )“After I take this drug, I must sit upright for at least 30 minutes.”d )“One advantage of this drug is that it will reduce my hot flashes.”
- A patient has been admitted to the emergency department after a suspected overdose of benzodiazepines mixed with alcohol. The patient is lethargic and cannot speak. The nurse expects which immediate measures to be implemented? (Select all that apply.) a )Prepare to administer naloxone (Narcan).b )Prepare to administer flumazenil.c )Monitor the patient for convulsions.d )Prepare for potential respiratory arrest.e )Apply restraints.When monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for as an indication that the medication therapy is successful? a) Increased insulin levelsb )Decreased diarrheac )Improved nasal patencyd )Decreased thirsA patient experiencing ethanol withdrawal is beginning to show severe manifestations of delirium tremens. The nurse will plan to implement which interventions for this patient? (Select all that apply.) a )Doses of an oral benzodiazepineb )Doses of an intravenous benzodiazepine c) Restraints if the patient becomes confused, agitated, or a threat to himself or othersd )Thiamine supplementatione )Oral disulfiram (Antabuse) treatment f ) Monitoring in the intensive care unit
- The nurse would consider which of the following assessment findings as an adverse effect of sulfonylurea therapy? Question 70 options: a) Weight loss b) Hypoglycemia c) Gastrointestinal distress d) Lactic acidosisA patient will be taking selegiline (Eldepryl), 10 mg daily, in addition to dopamine replacement therapy for Parkinson’s disease. The nurse will implement which precautions regarding selegiline? a )Teach the patient to avoid foods containing tyramine.b )Monitor for dizziness.c )Inform the patient that this drug may cause urine discoloration.d )Monitor for tachycardia and palpitations.A patient is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for the management of pain and inflammation. The nurse educates the patient about potential adverse effects of NSAIDs, including: a) Hypoglycemia and hyperlipidemia b) Hypotension and bradycardia c) Gastric ulceration and renal dysfunction d) Allergic reactions and bronchospasm