A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?
"Take this medication before a meal or several hours after a meal."
"Take this medication during your morning meal."
"Take this medication with a full glass of water or fruit juice."
"Take this medication with high-protein foods."
The Correct Answer is A
A. "Take this medication before a meal or several hours after a meal." Levothyroxine absorption can be affected by food, so it's generally recommended to take it on an empty stomach to ensure consistent absorption. Food, particularly high-fiber or calcium-rich foods, can interfere with levothyroxine absorption, hence taking it before meals or a few hours after meals helps optimize its effectiveness.
B. "Take this medication during your morning meal.": This may not ensure consistent absorption as food can still interfere with medication absorption.
C. "Take this medication with a full glass of water or fruit juice.": While water is recommended for swallowing pills, it doesn't address timing or food interactions.
D. "Take this medication with high-protein foods.": Protein content in food does not affect levothyroxine absorption directly.
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Related Questions
Correct Answer is B
Explanation
A. Tell the client that being in foster care can help with coping: Minimizes the client's emotional needs and may not address the grief adequately.
B. Explain how grief support groups could increase coping and social support. Grief support groups offer peer support and validation, which can be crucial for coping with loss and loneliness. Encouraging participation in support groups helps the client connect with others who have experienced similar losses and facilitates coping.
C. Encourage the client to ask the provider for medication: Not typically the first approach for addressing social support issues.
D. Suggest using the internet as a source for finding supportive friends: Safety and reliability of online friendships can vary, and in-person support is often more beneficial.
Correct Answer is A
Explanation
A. "You will need to use a bathroom separate from other household members." This prevents others from exposure to radioiodine through bodily fluids. Radioiodine is excreted primarily through urine and to a lesser extent through saliva and sweat, necessitating separate bathroom use to minimize radiation exposure to others.
B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." Most RAI treatments for hyperthyroidism are done on an outpatient basis.
C. "A low fiber diet will be necessary." Unrelated to radioiodine treatment. There is no specific dietary restriction related to fiber for RAI treatment.
D. "Additional Immunizations will be needed for full protection." Not relevant to radioiodine treatment. Radioiodine treatment does not require additional immunizations.
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