This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse assesses a client who is prescribed levothyroxine (Synthroid) for hypothyroidism. Which ... (Read 61 times)

nautica902

  • Hero Member
  • *****
  • Posts: 591
on: Jun 25, 2018
A nurse assesses a client who is prescribed levothyroxine (Synthroid) for hypothyroidism. Which assessment finding should alert the nurse that the medication therapy is effective?
 
  a. Thirst is recognized and fluid intake is appropriate.
  b. Weight has been the same for 3 weeks.
  c. Total white blood cell count is 6000 cells/mm3.
  d. Heart rate is 70 beats/min and regular.

Question 2

A nurse assesses clients for potential endocrine disorders. Which client is at greatest risk for hyperparathyroidism?
 
  a. A 29-year-old female with pregnancy-induced hypertension
  b. A 41-year-old male receiving dialysis for end-stage kidney disease
  c. A 66-year-old female with moderate heart failure
  d. A 72-year-old male who is prescribed home oxygen therapy


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Animal_Goddess

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
Hypothyroidism decreases body functioning and can result in effects such as bradycardia, confusion, and constipation. If a client's heart rate is bradycardic while on thyroid hormone replacement, this is an indicator that the replacement may not be adequate. Conversely, a heart rate above 100 beats/min may indicate that the client is receiving too much of the thyroid hormone. Thirst, fluid intake, weight, and white blood cell count do not represent a therapeutic response to this medication.

Answer to Question 2

ANS: B
Clients who have chronic kidney disease do not completely activate vitamin D and poorly absorb calcium from the GI tract. They are chronically hypocalcemic, and this triggers overstimulation of the parathyroid glands. Pregnancy-induced hypertension, moderate heart failure, and home oxygen therapy do not place a client at higher risk for hyperparathyroidism .


nautica902

  • Member
  • Posts: 591
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

kalskdjl1212

  • Member
  • Posts: 353
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

Cytomegalovirus affects nearly the same amount of newborns every year as Down syndrome.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

The patient and his family meet with the nurse to discuss progress on the patient care plan. The patient and his family meet with the nurse to discuss progress on the patient care plan.
Drugs Commonly Prescribed According to Classification Drugs Commonly Prescribed According to Classification
Sample client goals from the Wellness Massage Pyramid. Sample client goals from the Wellness Massage Pyramid.
Removing the sheet from underneath the client. Removing the sheet from underneath the client.
Apply the substance to the client’s upper chest. Apply the substance to the client’s upper chest.
Stand at the side facing the client. Apply L stroke to both sides of the neck with flat fingers ... Stand at the side facing the client. Apply L stroke to both sides of the neck with flat fingers ...
Video: Semidiscontinuous DNA replication

For a complete list of videos, visit our video library