Nokea
A client with a history of hypothyroidism is prescribed levothyroxine (Synthroid). The nurse should instruct the client to:
- A. Take the medication at bedtime.
- B. Avoid taking the medication with grapefruit juice.
- C. Take the medication with a high-fiber meal.
- D. Stop the medication if palpitations occur.
Correct Answer: B
Rationale: Grapefruit juice can interfere with levothyroxine absorption, so it should be avoided.
You may also like to solve these questions
A client with a history of type 2 diabetes mellitus is prescribed glipizide (Glucotrol). The nurse should instruct the client to report which of the following side effects immediately?
- A. Mild nausea.
- B. Hypoglycemia.
- C. Weight gain.
- D. Fatigue.
Correct Answer: B
Rationale: Hypoglycemia is a serious side effect of glipizide, requiring immediate reporting to prevent complications.
Buspirone hydrochloride is prescribed for a client diagnosed with an anxiety disorder. The nurse providing instructions should inform the client about which characteristic of this medication?
- A. There is risk of addiction.
- B. Dizziness and nausea may occur.
- C. Tolerance can occur with the medication.
- D. The medication can produce a sedating effect.
Correct Answer: B
Rationale: Buspirone hydrochloride is used in the management of anxiety disorders. The medication has a more favorable side effect profile than do the benzodiazepines. Dizziness, nausea, headaches, lightheadedness, and paradoxical central nervous system excitement, which generally are not major problems, are side effects of the medication. The advantages of this medication are that it is not addicting, tolerance does not develop, and it is not sedating.
A client with a history of Addison's disease is prescribed hydrocortisone. Which instruction should the nurse include?
- A. Take it on an empty stomach
- B. Double the dose during stress
- C. Stop it if weight gain occurs
- D. Take it at bedtime only
Correct Answer: B
Rationale: Doubling hydrocortisone during stress (e.g., illness) prevents adrenal crisis in Addison's disease, mimicking the body's natural cortisol response.
A college student is asking the nurse about his grandfather, who just received a diagnosis of Huntington's disease. The student wants to know if he will have the disease, too. What should the nurse tell the student? Select all that apply.
- A. Huntington's disease affects men more than women.'
- B. Huntington's disease is an autosomal dominant disease.'
- C. Huntington's disease does not skip a generation.'
- D. Huntington's disease is a treatable disease.'
- E. There is a 75% chance you will have the disease.'
Correct Answer: B,C
Rationale: Huntington's disease is an autosomal dominant disorder, meaning a 50% chance of inheritance if one parent is affected, and it typically does not skip generations. It affects men and women equally, is not treatable (only symptom management is available), and the risk is not 75% but 50%.
Which client should the nurse delegate to the unlicensed assistive personnel (UAP)?
- A. A client who needs teaching regarding the use of an incentive spirometer
- B. A client who needs to have a urine specimen collected for a clean catch urine
- C. A client who needs reinforcement of a dressing covering an abdominal incision
- D. A client who needs assessment of a newly identified area of pressure over the right hip
Correct Answer: B
Rationale: The UAP can assist with specimen collection such as a clean catch urine because he or she is trained in this skill. Skills requiring nursing intervention such as dressing changes, teaching, and assessment cannot be delegated to unlicensed personnel.