A client recently diagnosed with hypothyroidism returns to see the prescriber. The client has been taking levothyroxine (Levothroid), 100mcg per day. The client tells the nurse that they feel anxious, that they arehaving trouble sleeping, and that they have lost 10 pounds. Which diagnosis does the nurse anticipate the client to have?
1. Addison Disease
2. Hyperthyroidism
3. Hyperparathyroidism
4. Anxiety
2
Rationale 1: Addison disease is the hyposecretion of corticosteroids.
Rationale 2: Adverse effects of levothyroxine (Levothroid) resemble symptoms of hyperthyroidism. These include anxiety, insomnia, and weight loss.
Rationale 3: Hyperparathyroidism is hypersecretion of the parathyroid hormone and not use of levothyroxine.
Rationale 4:Anxiety is one adverse effect associated with levothyroxine.
Global Rationale: The difference between a therapeutic dose of levothyroxine and one that produces adverse effects is quite narrow. Adverse effects of levothyroxine resemble symptoms of hyperthyroidism and include tachycardia, anxiety, tremors, insomnia, weight loss, and heat intolerance. Menstrual irregularities may occur in women. A laboratory test is necessary, and the dose may need to be lowered.
You might also like to view...
A patient is being discharged home from the hospital after receiving treatment for pneumonia. The patient is going home and continuing to take the same drugs he or she was taking before he or she was hospitalized
These drugs include an antianxiety medication and a medication for insomnia. The home care nurse is following this patient. On the initial visit what is the nurse's priority teaching point? A) The names and purposes of medications prescribed B) How to contact the provider if needed C) The importance of taking medications for insomnia only occasionally D) Warning signs that may indicate serious adverse effects
A client has been admitted to the health care facility for observation and will return home the same evening. The client has a gold ring, watch, reading glasses, and other personal belongings
What care should the nurse take with regard to these objects? A) Ask the client's relatives to take the belongings home. B) Keep the client's belongings secured in a locker. C) Allow the client to wear them unless moving out of the room. D) Hand over the belongings to the admitting department.
A 1-month-old infant is admitted to the Emergency Department with severe diarrhea. Which assessment suggests the infant is severely dehydrated?
1. Skin moist and flushed; mucous membranes dry 2. Low specific gravity of urine; skin color pale 3. Fontanelles depressed; capillary refill greater than 3 seconds 4. High specific gravity of urine; moist mucous membranes
The nurse explains that when the kidney suffers an autoimmune inflammatory reaction, the glomeruli lose their ability to function effectively, which leads to:
a. glomerulonephritis. b. reduced urinary output. c. nephrosis. d. nephrotoxicity.