A client with hypothyroidism is started on levothyroxine (Synthroid). Which statement by the client indicates a need for further teaching?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Levothyroxine is a lifelong medication for hypothyroidism. 2. Stopping medication prematurely can lead to symptom relapse. 3. Symptoms improving doesn't indicate the underlying condition is resolved. 4. Regular monitoring and dose adjustments are crucial. 5. Choice D shows misunderstanding of treatment duration and necessity. Summary: A: Correct, taking in the morning maximizes absorption. B: Correct, monitoring is necessary for dose adjustments. C: Correct, weight loss can affect thyroid hormone levels. D: Incorrect, as stopping medication prematurely is not advised.

Correct Answer: D

Rationale: The correct answer is D: Seizures. Seizures in a patient with suspected meningitis indicate increased intracranial pressure, which is a medical emergency requiring immediate intervention to prevent brain damage or herniation. Headache (A), fever (B), and nuchal rigidity (C) are common symptoms of meningitis but do not pose an immediate threat to life like seizures do. Addressing the seizures first is crucial to prevent further complications and ensure the patient's safety.

Correct Answer: A

Rationale: The correct answer is A: Increase your intake of high-calcium foods. Osteoporosis is a condition characterized by low bone density, and calcium is essential for bone health. Increasing calcium intake can help strengthen bones and prevent further bone loss. Foods high in calcium, such as dairy products, leafy green vegetables, and fortified foods, are beneficial for individuals with osteoporosis. Summary of other choices: B: Limiting intake of vitamin D-rich foods is not advised, as vitamin D plays a crucial role in calcium absorption and bone health. C: Avoiding foods high in phosphorus is not necessary, as phosphorus is also important for bone health and overall body function. D: Increasing intake of high-sodium foods is not recommended, as high sodium intake can lead to calcium loss from the bones, worsening osteoporosis.

Correct Answer: C

Rationale: The correct answer is C: Crepitus around the insertion site. Crepitus suggests subcutaneous emphysema, which can indicate a pneumothorax or air leak. Immediate intervention is needed to prevent further complications. A: Intermittent bubbling in the water seal chamber is expected and indicates a functioning chest tube system. B: Drainage of 75 ml in the first hour post-insertion is within the normal range and should be monitored. D: Fluctuation of the water level in the water seal chamber with respiration is a normal finding indicating the chest tube is functioning correctly.

Correct Answer: B

Rationale: The correct answer is B: Serum potassium of 6.2 mEq/L. Hyperkalemia is a life-threatening condition in AKI. High potassium levels can lead to cardiac arrhythmias and must be addressed immediately. Choice A is concerning but not as critical as hyperkalemia. Choice C, elevated blood pressure, needs monitoring but does not require immediate intervention. Choice D, elevated serum creatinine, indicates kidney dysfunction but does not pose an immediate threat compared to hyperkalemia.