N326 Psych

A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?A. "Take this medication until your symptoms are gone and then discontinue" B. "Tremors, nervousness and insomnia may indicate you dose is too high" C. "Symptoms improve immediately after starting the medication" D. "The medication decreases the overpopulation of the thyroid hormone thyroxine"

"Tremors, nervousness and insomnia may indicate you dose is too high"

A nurse is caring for a client who has wernicke-korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate? A. Laboratory analysis of cardiac enzymes B. Monitoring for presence of esophageal varices. C. Administration of thiamine. D. Placing the client in protective isolation.

Administration of thiamine.

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication? A. Decrease in level of thyroxine (T4) B. Increase in weight C. Increase in hr of sleep per night D. Decrease in level of thyroid stimulating hormone (TSH)

Decrease in level of thyroid stimulating hormone (TSH)

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer? A. Methadone B. Disulfiram C. Diazepam D. Buprenorphine

Diazepam

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? A. Drowsiness B. Bradycardia C. Dry skin D. Heat intolerance

Heat intolerance

A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication? A. Decrease in appetite B. Increase in weight C. Increase in energy D. Decrease in body temperature

Increase in energy

A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil to treat hyperthyroidism. The nurse should understand that this client is at increased risk for which of the following conditions? A. Excessive bleeding B. Ecchymosis C. Infection D. Hyperglycemia

Infection

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?A. Radioactive iodine B. Levothyroxine C. Sumatriptan D. Levofloxacin

Levothyroxine

A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? A. Saw palmetto B. Cranberry C. Soy D. Garlic

Soy

A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values? A. Thyroid simulating hormone (TSH) B. Free T4 C. Serum T4 D. Serum T3

Thyroid Stimulating Hormone (TSH)

A nurse in a substance abuse clinic is assessing a client who recently started talking disulfiram in. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress?

the client consumed alcohol while taking the medication