NR 293 ATI PHARMACOLOGY FINAL REVIEW

NR 293 ATI PHARMACOLOGY FINAL REVIEW

1)    A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
a)    Insomnia
i)    Rationale: Levothyroxine overdose will result in manifestations of hyperthyroidism, which include Insomnia, tachycardia, and hyperthermia.
b)    Constipation
i)    Rationale: Constipation is a manifestation of hypothyroidism and indicates an inadequate dose of levothyroxine.
c)    Drowsiness
i)    Rationale: Drowsiness is a manifestation of hypothyroidism and indicates an inadequate dose of levothyroxine.
d)    Hypoactive deep-tendon reflexes
i)    Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidism and indicate an inadequate dose of levothyroxine.

2)    A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?
a)    Decrease in level of thyroxine (T4)
i)    Rationale: If the dose of this medication has been adequate, the nurse should see an increase in the T4.