Which nursing assessment of a 69-year-old patient is most important to make during initiation of thyroid replacement with levothyroxine (Synthroid)?
a. Fluid balance
b. Apical pulse rate
c. Nutritional intake
d. Orientation and alertness
ANS: B
In older patients, initiation of levothyroxine therapy can increase myocardial oxygen demand and cause angina or dysrhythmias. The medication also is expected to improve mental status and fluid balance and will increase metabolic rate and nutritional needs, but these changes will not result in potentially life-threatening complications.
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A student nurse had long been in the habit of wearing perfume, but has stopped doing so since she began her nursing program. The student most likely took this action because
A) patients and clients may not share the student's preferences in her choice of perfume. B) some individuals are allergic to scents and they can trigger an unpleasant or dangerous reaction. C) different cultures have different ideas about the ideal smell of an individual. D) uniformity is a professional goal, and each student nurse should dress similar and smell similar.
Certain foods may increase the pain associated with gout. Which foods have the highest concentration of purines?
a. Brain, liver, kidney b. Lettuce, corn, potatoes c. Beef, pork, chicken d. Fruits and fruit juices
A client has been on an antibiotic for 2 weeks for treatment of an ulcer caused by Helicobacter pylori. The client asks the nurse if the antibiotic could be causing diarrhea. What is the nurse's most accurate response?
1. "The infection has become severe." 2. "This might be a secondary infection due to the antibiotic therapy." 3. "The infection has a restricted group of microorganisms." 4. "The organisms that caused the infection have developed immunity to the drug."
Let your patient know that it is your pleasure to assist them
True False