Author Question: The client has hypothyroidism and is treated with levothyroxine (Synthroid). The nurse plans to do ... (Read 23 times)

joesmith1212 · **on:** Jul 23, 2018

The client has hypothyroidism and is treated with levothyroxine (Synthroid). The nurse plans to do medication education. What will the best plan by the nurse include?

1. Monitor daily weights.
2. Assess for decreased appetite.
3. Assess weekly serum blood levels.
4. Assess for altered sleep patterns.

Question 2

The client has been diagnosed with diabetes insipidus. What will the best plan by the nurse include?

1. Assess for increased urine production.
2. Assess for hyperglycemia.
3. Assess for hyponatremia.
4. Assess for fluid retention.

kardosa007 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Weights can be monitored on a weekly, not daily, basis with clients receiving levothyroxine (Synthroid)..
Rationale 2: The appetite tends to increase, not decrease, with clients receiving levothyroxine (Synthroid).
Rationale 3: Serum blood levels are not required on a weekly basis with clients receiving levothyroxine (Synthroid).
Rationale 4: Insomnia is an adverse effect of levothyroxine (Synthroid); altered sleep patterns must be assessed.

Answer to Question 2

Correct Answer: 1
Rationale 1: Diabetes insipidus results from decreased ADH (antidiuretic hormone) production, so the client will have increased urine output.
Rationale 2: Hyperglycemia is not an effect of diabetes insipidus.
Rationale 3: Hypernatremia results from the volume of fluid that is lost; the client will not have hyponatremia.
Rationale 4: The client will have increased urine output and fluid volume depletion, not retention.