A patient who has hypothyroidism has been taking levothyroxine 50 mcg daily for 2 weeks. The patient reports continued fatigue. The primary care NP should:
a. order a T4 level today.
b. increase the dose to 100 mcg.
c. check the TSH level in 1 week.
d. reassure the patient that this will improve in several weeks.
C
Full therapeutic effectiveness may not be achieved for 3 to 6 weeks. Measuring the TSH level is indicated to evaluate drug effectiveness. The dose should not be increased without first evaluating the patient's TSH level.
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A patient is administered aztreonam (Azactam). What is the major advantage of this monobactam over the aminoglycosides in treating P. aeruginosa?
A) It is a lower-cost medication. B) It is administered orally. C) It causes less GI distress. D) It has lower risk for hearing loss.
The nurse is caring for a client diagnosed with infectious mononucleosis who is having trouble eating. What would the nurse advise this client to improve his oral intake?
A) Eat warm food and drink warm liquids. B) Eat soft, bland foods and drink cool liquids. C) Avoid spicy foods and drink warm liquids. D) Eat soft, bland foods and drink warm liquids.
The best location for a client's new stoma is:
a. near the ribs c. in an abdominal fold b. in a scar d. below the umbilicus
Which of the following statements about power and empowerment are true accurate? Select all that apply
A) Power is the ability to act or produce an effect and possess control, authority, or influence over others. B) Empowerment is a process of assisting communities to come together to express their values and ideas to those outside the community. C) If power is the ability to control, predict, and participate in one's environment, then empowerment is the process whereby individuals and communities take power and transform their lives. D) All of the power belongs to the legislators. E) Nurses have a responsibility to ensure community participation in issues affecting them, and they must continually examine the relationship and position they hold within these communities.