A nurse is caring for a client in an outpatient clinic.
Complete the following sentence by using the lists of options.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Levothyroxine is best absorbed on an empty stomach, typically taken 30–60 minutes before breakfast, and separately from other medications, especially multivitamins (iron and calcium) and esomeprazole (a proton pump inhibitor). The client has been taking levothyroxine after breakfast with other medications, which can interfere with its absorption. This leads to the risk of decreased therapeutic effectiveness, even though the current TSH is within normal range and free T4 is at the high end of normal.
Multivitamins (often contain calcium or iron): Can bind to levothyroxine and reduce its absorption. Esomeprazole: Alters gastric pH, which can impair levothyroxine absorption. Food intake: Taking levothyroxine with food reduces its bioavailability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. St. John's wort can decrease the effectiveness of warfarin, so it should be avoided.
B. Using a hard bristle toothbrush could cause gum bleeding in clients taking warfarin and should be avoided.
C. INR should be checked regularly, not just once a year, to monitor the therapeutic range for warfarin.
D. There is no known interaction between cantaloupe and warfarin.
Correct Answer is ["25"]
Explanation
Finding out how many milliliters are infused per minute: 1hr/100mL×1 hr/60min=100mL/60 min
Finding the drops per minute, we multiply the mL/min by the drop factor: 100/60 x 15/1 = 1500/60 gtt/min =25gtt/min
So, the nurse should set the manual IV infusion to deliver 25 gtt/min.
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