A patient has been taking levothyroxine 100 mcg daily for several months. The patient comes to the clinic with complaints of insomnia and irritability. The primary care NP notes a heart rate of 92 beats per minute. The NP should:
a. change to liothyronine 75 mcg/day.
b. discontinue levothyroxine indefinitely.
c. order propylthiouracil to counter the increased thyroid levels.
d. order TSH and T4 levels and decrease the dose to 75 mcg/day.
D
When signs of thyrotoxicosis occur, the drug should be decreased or temporarily discontinued for 5 to 7 days. Liothyronine is not indicated. Propylthiouracil is not indicated.
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When observing a patient's verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should:
a. Ask someone who knows the patient well to help interpret this discrepancy. b. Focus on the patient's verbal message, and try to ignore the nonverbal behaviors. c. Try to integrate the verbal and nonverbal messages and then interpret them as an average. d. Focus on the patient's nonverbal behaviors, because these are often more reflective of a patient's true feelings.
Which question should a nurse researcher consider in identifying key stakeholders?
a. When will system changes be necessary? b. How will uncooperative stakeholders be handled? c. What is the step-by-step process of decision making in implementing EBP? d. Who can influence the decision to proceed with implementation of an EBP?
A nurse would like to improve the ability of the nursing center to be responsive to the needs of the community. Which of the following best describes how this can be accomplished?
a. Having staff examine the needs of the community b. Determining the services to be provided by the center c. Involving the community in assessing its own needs d. Addressing the problems in the communi-ty
The nurse is providing patient education about colesevelam (Welchol), a bile acid sequestrant. Which statement made by the patient demonstrates a need for further teaching?
a. "Colesevelam will reduce my levels of low-density lipoprotein." b. "Colesevelam will augment my statin drug therapy." c. "I will not have to worry about having as many drug interactions as I did when I took cholestyramine." d. "I may have diarrhea when taking colesevelam."