The nurse is discharging a patient with a new prescription for levothyroxine. What would the nurse teach the patient to report to her health care provider? (Select all that apply.)
A) Nervousness
B) Insomnia
C) Chest pain
D) Loss of hair
E) Nausea
A, B, C
Feedback:
Report chest pain, heart palpitations, nervousness, or insomnia. These adverse effects result from excessive stimulation and may indicate that drug dosage or intake of other stimulants needs to be reduced. Loss of hair is usually only seen in the first few months of therapy in children; nausea need not be reported unless it is persistent or interferes with adequate caloric intake.
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Which term should a nurse use to describe the administration of a central nervous system (CNS) depressant during the substance induced disorder of alcohol withdrawal?
1. Antagonist therapy 2. Deterrent therapy 3. Codependency therapy 4. Substitution therapy
During the maintenance phase of treatment, a patient with bipolar disorder asks, "Do I have to keep taking lithium even though my mood is stable now?" Select the nurse's best response
a. "Do you feel you are ready to stop taking it?" b. "Taking the medication daily helps prevent future relapses and recurrences.". c. "Usually patients take medication for approximately 6 months after discharge.". d. "It's unusual that the health care provider hasn't already stopped your medication.".
The home care nurse is assessing the client receiving antibiotic therapy in the home for infective endocarditis. Which of the following clinical manifestations requires re-evaluation of the treatment regimen?
A. Fever B. Fingernail clubbing C. Resolving petechiae D. Pulse pressure of 36 mm Hg
During the fourth stage of labor, the primary reason that the nurse encourages the mother to hold and examine her baby is to:
a. Promote mother-infant bonding. b. Prolong the first period of newborn reactivity. c. Calm the newborn infant. d. Distract the mother from her pain.