A client is newly diagnosed with hypothyroidism. Levothyroxine (Synthroid) is prescribed. The nurse who plans to teach this client about the medication should include that the appropriate method for taking the medication is:
With food
With milk
On an empty stomach
With fruit juice
The Correct Answer is C
A. With food: Levothyroxine should not be taken with food because it can interfere with the absorption of the medication. Food, especially high-fiber meals, can reduce the effectiveness of levothyroxine.
B. With milk: Milk contains calcium, which is known to interfere with the absorption of levothyroxine. Taking the medication with milk would reduce its effectiveness and could necessitate a higher dose, or lead to fluctuations in thyroid hormone levels.
C. On an empty stomach: Levothyroxine should be taken on an empty stomach, typically 30 to 60 minutes before eating or drinking anything, except water, to ensure optimal absorption and effectiveness.
D. With fruit juice: Fruit juice is not ideal for taking levothyroxine, as it can also affect absorption, especially grapefruit juice. It is best to take the medication with water only.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Glycosylated hemoglobin (HbA1C): The HbA1C test provides an average measure of blood glucose levels over the past 8 to 12 weeks. It reflects the percentage of hemoglobin that has glucose attached to it, giving an indication of long-term blood sugar control.
B. Oral glucose tolerance test: This test measures the body’s response to glucose by checking blood sugar levels after drinking a sugary solution. It does not provide an average of blood glucose over weeks, but rather, it assesses blood glucose levels at specific time points after glucose ingestion.
C. Postprandial glucose test: This test measures blood glucose levels after eating a meal, typically 1 to 2 hours later. It provides information about immediate glucose levels, not long-term glucose control over weeks.
D. Fasting blood sugar (FSBS): This test measures blood glucose levels after fasting for at least 8 hours. It gives a snapshot of current glucose levels but does not provide a measure of glucose control over weeks.
Correct Answer is D
Explanation
A. "Unsightly fatty tumors can develop when you do not adequately rotate injection sites.": While lipohypertrophy (fatty lumps under the skin) can develop from repeated use of the same injection site, the main reason for rotating sites is to avoid this and lipodystrophy.
B. "Rotating your injection sites will help to reduce your risk of infection.": Rotating injection sites can help prevent lipodystrophy, but it does not directly reduce the risk of infection. Proper technique is more important for preventing infection.
C. "Failing to rotate injection sites will improve your ability to prevent an insulin reaction.": Failing to rotate injection sites does not prevent insulin reactions. In fact, using the same site too often can cause insulin absorption problems and potentially affect blood glucose control.
D. "Rotating your injection sites will help to reduce your risk for lipodystrophy.": Lipodystrophy (which includes lipohypertrophy and lipoatrophy) can occur when insulin is repeatedly injected into the same site. Rotating injection sites helps to reduce the risk of these issues and ensures consistent insulin absorption.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.