A client is started on levothyroxine for the treatment of hypothyroidism. During client teaching, the nurse indicates that the dosage may be increased how often until symptoms are relieved?
Weekly
Monthly
Every 3 to 5 days
Every 4 to 6 weeks
The Correct Answer is D
A. Weekly – This frequency is too frequent for dosage adjustments of levothyroxine. Adjustments are generally made less frequently to allow for the medication to reach therapeutic levels.
B. Monthly – While some adjustments may be made on a monthly basis, this is not the typical recommendation.
C. Every 3 to 5 days – This is also too frequent for dosage adjustments as it may not allow enough time to assess the effects of the current dose.
D. Every 4 to 6 weeks – This is the correct recommendation for adjusting levothyroxine dosages. After starting therapy or adjusting the dose, it is advised to wait 4 to 6 weeks before evaluating thyroid function tests and making any further adjustments to the dosage, as it takes time for the medication to take effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Hydrocortisone is a glucocorticoid hormone that is usually prescribed for the treatment of Addison's disease, which is characterized by insufficient production of adrenal hormones. It is important to take hydrocortisone in the morning before 09:00 because this is when the body's natural cortisol levels are at their highest. Taking hydrocortisone at this time can help to mimic the body's natural cortisol production and prevent adrenal crisis. It should be taken with meals to reduce the risk of stomach upset.
Correct Answer is A
Explanation
Schizophrenia is believed to be related to an overactivity of the dopamine system in certain areas of the brain. Antipsychotic medications, which are the primary treatment for schizophrenia, work by blocking dopamine receptors, thereby decreasing the activity of the dopamine system. This is referred to as the dopamine hypothesis of schizophrenia.
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