DIF COGNITIVE LEVEL Understanding Comprehension REF p 493 TOP NURSING PROCESS

Dif cognitive level understanding comprehension ref p

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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 493 TOP: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid). When the nurse explains that this is a synthetic form of the thyroid hormone, he states that he prefers to receive more “natural” forms of drugs. What will the nurse explain to him about the advantages of levothyroxine? a. It has a stronger effect than the natural forms.b. Levothyroxine is less expensive than the natural forms.c. The synthetic form has fewer adverse effects on the gastrointestinal tract.d. The half-life of levothyroxine is long enough to permit once-daily dosing.ANS: D One advantage of levothyroxine over the natural forms is that it can be administered only once a day because of its long half-life. The other options are incorrect.DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 493 TOP: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. The order reads, “Give levothyroxine (Synthroid), 200 mg, PO once every morning.” Which action by the nurse is correct? Levothyroxine is dosed in micrograms. A common medication error is to write the intended dose in milligrams instead of micrograms. If not caught, this error would result in a thousandfold overdose. Doses higher than 200 mcg need to be questioned in case this error has occurred. The other options are incorrect.DIF: COGNITIVE LEVEL: Analyzing (Analysis) REF: p. 494 TOP: NURSING PROCESS: Planning MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control 4. During a teaching session for a patient on antithyroid drugs, the nurse will discuss which dietary instructions? Patients on antithyroid therapy need to avoid iodine-containing foods. These foods may interfere with the effectiveness of the antithyroid drug. The other options are incorrect.
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DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 496 TOP: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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  • Nursing, Cognitive Level, Physiological Integrity, Pharmacological and Parenteral Therapies

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