The nurse provides medication instructions to a client prescribed liothyronine sodium (Cytomel) for treatment of hypothyroidism. Which symptoms should the client be taught to monitor for that will indicate an overaccumulation of this drug?
a. Dry mouth and lack of ability to urinate
b. Rapid or racing heat rate
c. Lethargy and fatigue
d. Nausea and constipation
ANS: B
An overaccumulation of Cytomel may increase thyroid stimulation and may cause tachycardia.
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A patient with advanced leukemia is responding poorly to treatment. The nurse finds the patient tearful and trying to express his feelings, but he is clearly having difficulty. What is the nurse's most appropriate action?
A) Tell him that you will give him privacy and leave the room. B) Offer to call pastoral care. C) Ask if he would like you to sit with him while he collects his thoughts. D) Tell him that you can understand how he's feeling.
A preadolescent weighing 99 lb is prescribed carbamazepine (Tegretol) 10 mg/kg per 24 hours in two divided doses. How much medication will the nurse provide the patient for one dose? (Enter numeric response only.)
What will be an ideal response?
The postpartum client is being tested for a diagnosis of renal failure. Which assessment would the nurse most likely perform to provide data for the physician to confirm this diagnosis? (Select all that apply)
A. Urine pH B. Calculation of output C. Urine-specific gravity D. Calculation of intake E. Clean catch urinalysis
Liza's mother calls the pediatric triage nurse because she is concerned about her usually healthy daughter's rosy, lacey cheeks, fever, and fussiness. The mother reports that this illness has been going around the day care
The nurse anticipates that the doctor's orders will include: 1. Acetaminophen, adequate hydration, and to let the virus run its course. 2. Having the child admitted to the emergency room because this is a medical emergency. 3. Having the mother speak with the day care and discuss good hand washing techniques. 4. Giving the child TLC and hydration.