A healthcare professional is reviewing the medical record of a client who has a prescription for levothyroxine. Which of the following findings should the healthcare professional identify as an indication of a need for dosage adjustment?

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Question 1 of 5

A healthcare professional is reviewing the medical record of a client who has a prescription for levothyroxine. Which of the following findings should the healthcare professional identify as an indication of a need for dosage adjustment?

Correct Answer: B

Rationale: Increased appetite may indicate that the client is experiencing symptoms of hyperthyroidism due to an excessive dose of levothyroxine. This finding suggests a need for a dosage adjustment to prevent potential complications. Tremors are more commonly associated with hyperthyroidism, not necessarily indicating a need for dosage adjustment. Bradycardia and diarrhea are not typical signs of an incorrect levothyroxine dosage and would not directly warrant a need for adjustment.

Question 2 of 5

A nurse is teaching a client who is taking warfarin about food and medication interactions. Which of the following foods should the nurse instruct the client to avoid?

Correct Answer: D

Rationale: Correct Answer: Green leafy vegetables - Green leafy vegetables are high in vitamin K, which can interfere with the effectiveness of warfarin. Tomatoes, apples, and broccoli are not contraindicated with warfarin therapy. While they are healthy choices, they do not have a significant impact on warfarin's effectiveness.

Question 3 of 5

A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: The correct answer is C: 'Cut toenails straight across.' This instruction is crucial for clients with diabetes to prevent ingrown toenails and potential foot complications. Soaking feet in hot water daily (Choice A) can lead to skin damage and is not recommended for diabetic individuals. Using a heating pad on the feet daily (Choice B) can cause burns or injuries due to reduced sensation in the feet that often accompanies diabetes. Massaging feet with lotion daily (Choice D) is generally safe but may not address the specific preventive measure of cutting toenails correctly.

Question 4 of 5

A nurse is caring for a client who has pneumonia and new onset confusion. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Correct Answer: Increasing the client's oxygen flow rate should be the nurse's first action. Hypoxia is a common complication of pneumonia and can lead to confusion. Providing adequate oxygenation is essential in addressing hypoxia and improving the client's condition.\nOption B: Obtaining vital signs is important but addressing hypoxia takes precedence in the setting of new onset confusion.\nOption C: Administering an antibiotic is important for treating pneumonia but addressing hypoxia and confusion is the priority.\nOption D: Notifying the provider may be necessary but addressing the immediate physiological need of oxygenation should come first.

Question 5 of 5

A healthcare provider is reviewing the medical record of a client who has coronary artery disease (CAD) and a prescription for aspirin. Which of the following findings should the healthcare provider report to the provider?

Correct Answer: A

Rationale: A history of gastrointestinal bleeding is a critical finding to report to the healthcare provider because it is a contraindication for aspirin use in individuals with CAD. Aspirin can further increase the risk of bleeding in individuals with a history of gastrointestinal bleeding. Choices B, C, and D are not directly contraindications for aspirin use in this scenario. Asthma, liver disease, and hypertension are not typically contraindications for prescribing aspirin to patients with CAD.

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