A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO

daily. After 6 weeks of treatment the nurse determines that the medication was effective if the:

1) Thyroid stimulating hormone (TSH) level is 2 microunits/ml

2) Total t4 level is 2 mcg/dl

Answer is - 1) Thyroid stimulating hormone (TSH) level is 2 microunits/ml

A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the

following client statement indicates understanding of teaching:

1) I will not use a salt substitute while taking meds

2) I will move slowly from sitting to standing to prevent falls

Answer is - 2) I will move slowly from sitting to standing to prevent falls

A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the

patient indicates further teaching:

1) I should expect a rash to develop

2) I may develop hair or face or chest

Answer is - 1) I should expect a rash to develop

A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of the

following is the nurse required to do:

3) Read the prescription back to the provider after transcribing

4) Write the trade name for the prescribed medicine

Answer is - 3) Read the prescription back to the provider after transcribing

A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin

(Dilantin) for a newly diagnosed seizure disorder. Which of the following client statements indicates the

understanding of the teaching:

1) I will keep a seizure frequency chart

2) I will skip a dose if I am experiencing nausea

Answer is - 1) I will keep a seizure frequency chart

A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin

(Lanoxin). Routine laboratory results reveal a potassium level of 2.6 meq/L. Which of the following

actions should the nurse take first:

1) Apply a cardiac monitor

2) Provides foods high in potassium

Answer is - 1) Apply a cardiac monitor

A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of the

following client findings requires an incident report:

1) The client is also taking linsinophrel (Prinivil)

2) The client reports shortness of breath

Answer is - 2) The client reports shortness of breath

A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder

and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can decrease the

effectiveness of which of the following:

1) Ethunyl estradiol/desogestrel (Cyclessa)