Author Question: A home care nurse observes that a client's supply of Synthroid has run out in less than half the ... (Read 64 times)

jman1234 · **on:** Jul 23, 2018

A home care nurse observes that a client's supply of Synthroid has run out in less than half the time that it should have. What assessment findings would be most consistent with overuse of Synthroid?

A) Constipation and abdominal distention
B) Hyperactivity and insomnia
C) Bradycardia and hypotension
D) Joint pain and decreased mobility

Question 2

A nurse has established intravenous access in a patient whose infection necessitates treatment with IV cefazolin. What potential adverse reaction is most likely during this patient's course of treat?

A) Gastrointestinal upset
B) Dry skin and pruritus
C) Drowsiness
D) Orthostatic hypotension

shewald78 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Adverse effects of levothyroxine include signs and symptoms of hyperthyroidism. Other more serious adverse effects are tachycardia, cardiac dysrhythmias, angina pectoris, myocardial infarction, and heart failure. Nervousness, hyperactivity, insomnia, diarrhea, abdominal cramps, nausea, vomiting, weight loss, fever, and an intolerance to heat have also been reported. Bradycardia and constipation are associated with hypothyroidism.

Answer to Question 2

A
Feedback:
Adverse effects to cefazolin and the other cephalosporins are similar to those of most other antibiotics: abdominal pain, diarrhea, gastritis, nausea, and vomiting. Integumentary, neurological, and blood pressure changes are atypical.