The nurse transcribes a new order for liothyronine for a patient diagnosed with hypothyroidism. When educating the patient about this medication, the nurse will include that

a. the onset of action is slower than that of levothyroxine.
b. it is safe for patients with cardiovascular disease to take.
c. adverse effects may occur up to 3 weeks after changes in therapy have been initiated.
d. symptoms of adverse effects include tachycardia and weight gain.


ANS: C
Adverse effects may occur 1 to 3 weeks after changes in therapy have been initiated. Onset of action is more rapid than that of levothyroxine. It is not recommended for patients with cardiovascular disease. Symptoms of adverse effects include bradycardia and weight loss.

Nursing

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A nurse who works in a busy, urban clinic is aware of the importance of a thorough assessment of sexual history for the women who are patients of the clinic. When initiating such assessments, the nurse should begin by:

A) Briefly explaining the health consequences of sexually transmitted infections (STIs) B) Informing the patient that she will be asked some questions about her sexual health C) Asking the patient if she feels like she is accepting of her sexuality D) Asking the patient if she has any friends or family who have experienced sexual health issues

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Why are corticosteroid drugs usually prescribed for a short period of time?

a. The inflammatory process cannot be controlled with less powerful drugs. b. Inhalation of corticosteroid drugs causes irreversible damage to the lungs. c. These drugs work less effectively when given over an extended period. d. Corticosteroids have many adverse effects and side effects.

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Which would be an expected outcome for the parents of a child with encopresis?

a. The parents will give the child an enema daily for 34 months. b. The parents will develop a plan to achieve control over incontinence. c. The parents will have the child launder soiled clothes. d. The parents will supply the child with a low-fiber diet.

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The nurse is assisting a client in removing soft contact lenses. Place in order the steps the nurse should take to help this client

1. Using the pad of the index finger of the other hand, move the lens down to the sclera. 2. Have the client look forward. 3. Apply gloves. 4. Gently pinch the lens between the pads of the thumb and index finger. 5. Retract the lower lid with one hand.

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