A patient with hypothyroidism is given a
prescription for levothyroxine (Synthroid). When the nurse explains that this is a synthetic form of the thyroid hormone, he states that he prefers to receive more "natural" forms of drugs. What will the nurse explain to him about the advantages of levothyroxine?
a. It has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The synthetic form has fewer adverse effects on the gastrointestinal tract.
d. The half-life of levothyroxine is long enough to permit once-daily dosing.
ANS: D
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A client is prescribed an opioid analgesic. The initial interview reveals that the client chronically drinks alcohol. The nurse would assess the client for which of the following as a possible interaction between the opioid analgesic and alcohol?
A) Respiratory depression B) Central nervous system depression C) Hypotension D) Sedation
The nurse is assessing an older client who is having an annual assessment. In order to assess age-related changes of the musculoskeletal system, the nurse should assess:
1. the client's weight. 2. vital signs 3. the client's height. 4. the client's normal urine output.
Which information should the nurse provide the client that asks how glaucoma develops?
A. "Having diabetes is a risk factor in the development of glaucoma." B. "Glaucoma exists when the pressure in your eye is high enough to cause optic nerve damage." C. "High blood pressure can certainly lead to the development of glaucoma." D. "A history of hyperthyroidism is a risk factor in the development of glaucoma." E. "Drugs like antihistamines and antidepressants can contribute to glaucoma."
A man with a longstanding history of schizophrenia has been implicated in arson that destroyed a large amount of property. The man's competency to stand trial will be primarily determined on the basis of:
A) His willingness to adhere to prescribed treatment B) His attorney's experience in working with clients who have mental illness C) His prognosis for recovery D) His mental condition at the time of the trial