Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Endocrine

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Matilda, 33 years old, was diagnosed with primary hypothyroidism. The doctor prescribed levothyroxine (Synthroid). Which statement should be included in the client education?
  1. “You will need to take this medication until your symptoms are gone. Then your dose will be tapered off and discontinued.”
  2. “Symptoms such as tremors, nervousness, and insomnia may indicate that your dose is too high.”
  3. “You should begin to see your symptoms improve immediately after starting your medication.”
  4. “The reason for taking the drug is because the thyroid gland produces too much thyroxine.”
Explanation
Answer - B - Levothyroxine is a synthetic preparation of the thyroid hormone thyroxine (T4). Tremors, nervousness, and insomnia may indicate an overdose of the medication. The client should be instructed to contact the prescriber if she experiences these symptoms.
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