A nurse is teaching a client about levothyroxine for primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

Correct Answer: D

Rationale: In teaching a client about levothyroxine for primary hypothyroidism, it is crucial for the nurse to provide accurate information to ensure optimal medication adherence and management. Option D, "Tremors, nervousness, and insomnia may indicate your dose is too high," is the correct statement to use when educating the client. This is because levothyroxine is a medication used to replace or supplement the naturally occurring thyroid hormone in the body. Side effects like tremors, nervousness, and insomnia are indicators of hyperthyroidism, which can occur if the dose of levothyroxine is too high. Option A is incorrect as abruptly discontinuing levothyroxine can lead to a recurrence of hypothyroid symptoms and potential complications. Option B is incorrect because improvements in symptoms usually occur gradually over weeks to months, rather than immediately after starting the medication. Option C is also incorrect because levothyroxine is used to supplement, not decrease, thyroid hormone levels in hypothyroidism. In an educational context, understanding the correct statements ensures that the client comprehends the importance of regular monitoring, adherence to prescribed doses, and recognizing signs of over or undermedication. Providing accurate information empowers the client to actively participate in managing their health and promotes better outcomes in the treatment of hypothyroidism.

Correct Answer: D

Rationale: The correct answer is D, serosanguineous. Serosanguineous drainage is thin, watery, and pale red, indicating a mixture of serous fluid and blood. Choice A (purulent) refers to thick, yellow or green drainage indicating infection. Choice B (serous) is thin, clear drainage. Choice C (sanguineous) is bright red, indicating fresh bleeding.

Correct Answer: C

Rationale: The correct information the nurse should include is that menopausal hormone therapy helps prevent osteoporotic fractures by maintaining bone density. Option A is incorrect as hormone therapy should be taken consistently at the same time each day for optimal effectiveness. Option B is incorrect as menopausal hormone therapy is not primarily aimed at preventing cerebral hemorrhage. Option D is incorrect because taking an extra dose is not recommended if a dose is missed; instead, the missed dose should be taken as soon as remembered, unless it is close to the time for the next dose.

Correct Answer: D

Rationale: In this scenario, option D, "It's unfortunate that I have to be in the hospital for this treatment," is the correct answer indicating a need for further teaching. The client's statement shows a misunderstanding of TENS therapy, as it is typically an outpatient treatment that does not require hospitalization. This misconception suggests the client lacks knowledge about the procedure. Option A, "I wish I didn't have to attach the electrodes to my skin," is a common sentiment but does not necessarily indicate a need for further education. It reflects a personal preference rather than a misunderstanding of the treatment process. Option B, "I will need to shave the hair off the skin where I place the electrodes," is a factual statement related to the preparation for TENS therapy. While this may involve a step the client is not fond of, it does not demonstrate a lack of understanding. Option C, "I hope I don't have to take as many pain pills," shows a positive attitude towards reducing pain medication usage, which aligns with the goal of TENS therapy. This statement does not signal a need for additional teaching. Educationally, this question highlights the importance of assessing a client's understanding of their treatment plan and addressing any misconceptions or concerns they may have. It emphasizes the role of the nurse in providing clear and accurate information to enhance patient outcomes and compliance with the prescribed therapy.

Correct Answer: B

Rationale: Correct. Fluticasone, a corticosteroid medication commonly used to manage asthma, can lead to oral candidiasis due to its immunosuppressive effects. This fungal infection can manifest as white patches in the mouth and throat. Monitoring for signs of oral candidiasis is essential to initiate appropriate treatment. Polyuria (excessive urination) is not a common adverse effect of fluticasone. Hypertension and hypoglycemia are also not typically associated with this medication, making them incorrect choices.