Correct Answer: B

Rationale: The correct answer is B. Instructing the client to take levothyroxine in the morning is important to prevent insomnia, a common side effect of this medication.
Choice A is incorrect as levothyroxine should be taken on an empty stomach.
Choice C is inaccurate because weight loss, not weight gain, is a potential side effect of levothyroxine.
Choice D is not necessary as clients do not need to avoid foods containing iodine while taking levothyroxine.

Correct Answer: A

Rationale: The correct answer is A. Weight gain can indicate myxedema, which is a symptom commonly seen in hypothyroidism. Exophthalmos (choice
B) is actually a characteristic finding of hyperthyroidism, not hypothyroidism. Tachycardia (choice
C) and heat intolerance (choice
D) are also more indicative of hyperthyroidism rather than hypothyroidism.

Correct Answer: D

Rationale: Cheddar cheese is high in phosphorus, which should be avoided by clients with chronic kidney disease. Fresh fruit is generally a healthy choice unless the client needs to limit potassium intake. Grilled chicken is a good protein source for clients with chronic kidney disease. White bread is low in phosphorus and can be included in the diet of clients with kidney disease unless they need to watch their carbohydrate intake.

Correct Answer: B

Rationale: The correct intervention for a client with nonblanchable erythema over the ischium is to teach the client to shift his weight every 15 minutes while sitting. This action helps relieve pressure on the affected area and prevents further skin breakdown. Placing the client upright on a donut-shaped cushion (
Choice
A) may not address the need for frequent weight shifts. Turning and repositioning the client every 3 hours (
Choice
C) is important for overall skin health but may not provide adequate relief for the specific area of nonblanchable erythema. Assessing pressure points every 24 hours (
Choice
D) is not frequent enough to prevent worsening of the skin condition in this case.

Correct Answer: B

Rationale: Clients with a low platelet count are at risk of bleeding and infection. Monitoring the client's temperature every 4 hours is crucial to detect early signs of infection, as they may not be able to mount a typical immune response due to their compromised platelet count. Administering aspirin (choice
A) is contraindicated in clients with low platelet counts as it can further increase the risk of bleeding. Monitoring urine output (choice
C) and checking for stool in a colostomy bag (choice
D) are important aspects of care but are not the priority in a client with low platelet count.