A nurse is collecting a health history from a patient that is taking Levothyroxine for hypothyroidism. Over the past 12 months, the dose of the medication has been increased twice. Which of the following statements made by the patient could be the reason the medication is not effective:
"I realize I will be taking this medication for the rest of my life"
"I will not skip doses of my medication"
"I take my medication as soon as I awake with a cup of coffee with cream and sugar"
"I take my medication as soon as I awake, and wait 30 minutes before I eat or drink anything"
"Flush the toilet at least 3 times after each use"
The Correct Answer is C
A. "I realize I will be taking this medication for the rest of my life": This statement shows the patient’s understanding of the lifelong nature of treatment for hypothyroidism. It does not indicate a problem with the effectiveness of the medication.
B. "I will not skip doses of my medication": Consistency in taking levothyroxine is important for maintaining thyroid hormone levels and effective management of hypothyroidism. Skipping doses would decrease effectiveness
C. "I take my medication as soon as I awake with a cup of coffee with cream and sugar": Levothyroxine should be taken on an empty stomach, 30-60 minutes before eating or drinking anything except water. Taking it with coffee, cream, and sugar can interfere with the absorption of the medication, potentially reducing its effectiveness.
D. "I take my medication as soon as I awake, and wait 30 minutes before I eat or drink anything": This is the appropriate way to take levothyroxine. Waiting 30 minutes before eating or drinking other than water ensures that the medication is fully absorbed by the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["13"]
Explanation
Calculation:
- Determine the regular insulin dose based on the sliding scale.
The patient's blood glucose before lunch is 278 mg/dL.
According to the sliding scale:
Blood glucose 250-299 mg/dL: 6 units
Therefore, the regular insulin dose is 6 units.
- Calculate the insulin glargine (Lantus) dose.
Client weight = 70 kg.
Prescription for insulin glargine = 0.1 units/kg once daily.
Insulin glargine dose = 0.1 units/kg × 70 kg = 7 units.
- Calculate the total units of insulin to administer.
Total units = Regular insulin units + Insulin glargine units
Total units = 6 units + 7 units
= 13 units.
Correct Answer is D
Explanation
A. "This test detects antithyroid antibodies in your blood.": While antithyroid antibodies are measured in some thyroid disorders (like Hashimoto's thyroiditis), the TSH test specifically measures the level of thyroid-stimulating hormone produced by the pituitary gland.
B. "This test measures the amount of thyroid hormone that attaches to a protein in your blood.": TSH levels do not measure thyroid hormone bound to proteins; rather, TSH is a hormone produced by the pituitary gland that regulates the production of thyroid hormones.
C. "This test measures the absorption of iodine and how it relates to the thyroid gland.": The TSH test does not measure iodine absorption. A radioactive iodine uptake test is used for assessing iodine absorption by the thyroid gland.
D. "The test determines whether your thyroid gland is overactive, appropriately active, or underactive.": The TSH test is used to assess thyroid function. The test helps determine whether the thyroid is working appropriately or if there is a dysfunction.
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