A patient who has been taking levothyroxine (Synthroid) for 2 months has all of the following conditions. Which condition indicates to the nurse that the drug therapy is effective?
a. Increased thirst
b. Daily bowel movement for 1 week
c. White blood cell count of 6000/mm3
d. Weight unchanged for the last 3 weeks
B
Hypothyroidism decreases GI motility significantly. One of the parameters that can be used to determine if changes in the dose of a thyroid replacement drug should be adjusted is the fre-quency of bowel movements. A bowel movement every day is a strong indication that the dose of thyroid replacement hormone is adequate.
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The nurse is planning dietary education for her patient. What food labeling consideration should she be aware of when planning her education? (Select all that apply.)
a. Ask patients if they read food labels. b. Assess their level of understanding of food labels. c. Encourage them to read the food labels. d. Explain to them all food labels are different.
The drug alteplase (t-PA) is given to the patient with a myocardial infarction (MI). The nurse is aware the drug will:
a. dissolve the obstruction in the coronary artery. b. dilate vessels to relieve pain. c. strengthen cardiac contraction. d. increase cardiac output.
A patient is beginning radiation therapy as part of cancer treatment. What should the nurse teach the patient about the care of the radiation site?
Select all that apply. 1. Clean radiation site with soap and water. 2. Apply lotion daily to prevent scaling. 3. Apply ice pack to radiation site if pain or itching occurs. 4. If needed use an electric razor for shaving. 5. Wear tight fighting clothing over the area to protect it.
A nurse has decided to focus on educating the community about health promotion and wellness. Which of the following would be an example of this?
A) Teaching a class about home accident prevention B) Initiating prenatal and infant care C) Holding classes on prevention of sexually transmitted disease D) Implementing an exercise class for clients who have had a stroke