Question 19 1 out of 1 points following an assessment

 Question 19
1 out of 1 points
Following an assessment by her primary care provider, a 70-year-old
resident of an assisted living facility has begun taking daily oral doses of
levothyroxine. Which of the following assessment findings should prompt
the nurse to withhold a scheduled dose of levothyroxine?
Response
Feedback:
If the pulse rate is greater than 100 bpm, it is necessary to
withhold a levothyroxine dose in an older adult. Anorexia,
recent vaccination, and recent falls do not necessary indicate
a need to withhold this medication.
 Question 20
1 out of 1 points
A 13-year-old patient has juvenile arthritis. He has recently had oral
surgery and was told by the surgeon to take aspirin for the pain. The
nurse will monitor for which of the following?
Response
Feedback
Aspirin has been associated with hepatotoxicity in patients
with juvenile arthritis, active systemic lupus erythematosus,

: rheumatic fever, or preexisting hepatic impairment. The
hepatotoxicity is thought to be a direct toxicity to the liver and
is associated with high-dose therapy. Bronchoconstriction is
one of the hypersensitivity responses to aspirin, while patients
with hemophilia are at risk for agranulocytosis and aplastic
anemia.
 Question 21
1 out of 1 points
Which of the following would be the most important safety-related
instruction for a nurse to give to a patient taking baclofen (Lioresal)?
Response
Feedback
:
In a patient experiencing spasticity, the nurse should advise
the patient to stop drinking alcohol. Alcohol consumption may
increase the adverse effect of sedation, causing sleepiness,
dizziness, and blurred vision. The patient should not drive or
walk after taking the drug; he should learn to self-administer
the drug; and constipation is a concern. However, the most
important safety concern is to avoid alcohol.
 Question 22
1 out of 1 points
A nurse is instructing a patient who was recently diagnosed with multiple
sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male
and the foreman for a construction company. In order to minimize one
important adverse effect of the drug, the nurse will give the patient which
of the following instructions?
Response
Feedback
:
The nurse will need to caution the patient about the adverse
effect of photosensitivity, especially considering his work. He
should be advised to wear protective clothing and sunglasses
and to use sunscreen whenever he is outside on the job site. A
complete blood cell count should be done before therapy
begins but would not be needed again unless indicated. A
nurse must check with the prescriber before advising a patient
to decrease a drug dosage. A diet high in protein is not
necessary with this drug.
 Question 23
1 out of 1 points
A nurse is working with a 57-year-old man who is a former intravenous
drug abuser. He has been prescribed a weekly dosage of methotrexate
for his rheumatoid arthritis. Which of the following will the nurse include
in her teaching plan for this patient?