Author Question: The nurse is discharging a patient with a new prescription for levothyroxine. What would the nurse ... (Read 37 times)

strangeaffliction · **on:** Jul 23, 2018

The nurse is discharging a patient with a new prescription for levothyroxine. What would the nurse teach the patient to report to her health care provider? (Select all that apply.)

A) Nervousness
B) Insomnia
C) Chest pain
D) Loss of hair
E) Nausea

Question 2

A patient is having outpatient surgery that should last only 45 minutes. The patient is planning to go home immediately after the surgery is complete.

What nondepolarizing neuromuscular junction blocker will most likely be used as an adjunct therapy to general anesthesia for this patient? A) Atracurium (Tracrium)
B) Cisatracurium (Nimbex)
C) Pancuronium (Pavulon)
D) Rocuronium (Zemuron)

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

Answer to Question 1

A, B, C
Feedback:
Report chest pain, heart palpitations, nervousness, or insomnia. These adverse effects result from excessive stimulation and may indicate that drug dosage or intake of other stimulants needs to be reduced. Loss of hair is usually only seen in the first few months of therapy in children; nausea need not be reported unless it is persistent or interferes with adequate caloric intake.

Answer to Question 2

D
Feedback:
Rocuronium has a rapid onset of action and a short duration, making it a drug of choice for outpatient surgical procedures when the patient will be leaving to go home and will need to be awake, alert, and mobile. Atracurium, cisatracurium, and pancuronium are associated with longer paralysis and recovery.