Six months ago an elderly patient was diagnosed with subclinical hypothyroidism. Today the patient returns and has a TSH of 11.0 and complains of fatigue
He has taken Synthroid 25 mcg daily as prescribed. What is the best course of action for the nurse practitioner?
A. Assess further for a cause of fatigue
B. Double the dose of Synthroid
C. Discontinue the Synthroid
D. Prescribe Liotrix (T3 & T4 combination)
B
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A self-directed learner is one who:
a. depends on the instructor to make the student learn. b. requires faculty only for testing. c. assumes ownership of the learning. d. does not readily respond to instruction.
The nurse is advising a lactose-intolerant pregnant client about calcium intake. Which calcium sources are approximately equivalent to 1 cup of milk? (Select all that apply.)
a. 3/4 cup yogurt b. 1 cup of sherbet c. 1 1/4 oz of hard cheese d. 1 1/4 cups of ice cream e. 3/4 cup of low-fat cottage cheese
An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole (Prilosec). What will the nurse teach this patient?
a. A complete cure is expected with this medication. b. Lifestyle changes can be as effective as medication therapy. c. Long-term therapy may be needed. d. The medication will be used until surgery can be performed.
How does the chemotactic factor affect the inflammatory process?
a. By causing vasodilation around the inflamed area b. By stimulating smooth muscle contraction in the inflamed area c. By directing leukocytes to the inflamed area d. By producing edema around the inflamed area