A nurse is teaching a client about the proper way to take levothyroxine. Which instruction should be included in the teaching plan? "Take levothyroxine:
with a glass of milk to reduce gastric irritation."
with a meal to enhance absorption."
on an empty stomach, preferably 30 to 60 minutes before breakfast."
at bedtime for best results."
The Correct Answer is C
A. with a glass of milk to reduce gastric irritation is incorrect. Levothyroxine should not be taken with milk, as calcium can interfere with its absorption. This could reduce the effectiveness of the medication.
B. with a meal to enhance absorption is incorrect. Levothyroxine should be taken on an empty stomach to ensure optimal absorption. Food can decrease the absorption of the medication, leading to reduced effectiveness.
C. on an empty stomach, preferably 30 to 60 minutes before breakfast is correct. Levothyroxine is best absorbed when taken on an empty stomach, ideally 30 to 60 minutes before breakfast. This ensures that the medication is absorbed properly, without interference from food or other substances that could affect absorption.
D. at bedtime for best results is incorrect. Levothyroxine is generally recommended to be taken in the morning on an empty stomach for the best absorption, not at bedtime. Taking it at night may interfere with the body's natural circadian rhythm and the effectiveness of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Monitor blood pressure closely for fluctuations is correct. After an adrenalectomy for pheochromocytoma, it is critical to closely monitor the client's blood pressure. Pheochromocytomas are tumors of the adrenal glands that cause excessive production of catecholamines (like epinephrine and norepinephrine), leading to severe hypertension. Postoperatively, the sudden removal of the tumor may cause blood pressure fluctuations, including hypotension after the excess catecholamines are no longer being produced. Monitoring blood pressure is key to detecting complications like hypotension or hypertensive crises early.
B. Check the client's urine output every hour is incorrect. While urine output is important to monitor in general postoperative care, it is not the priority in this case. The more immediate concern following adrenalectomy for pheochromocytoma is blood pressure control and hemodynamic stability, not just urine output.
C. Evaluate the client's pain level using a numeric scale is incorrect. While managing pain is essential, the priority assessment postoperatively for this particular procedure is to monitor for hemodynamic changes, particularly due to the risk of fluctuating blood pressure. Pain can be managed after addressing the primary concerns.
D. Assess the surgical site for signs of infection is incorrect. While infection is a concern for any postoperative patient, the most immediate risk after adrenalectomy for pheochromocytoma is hemodynamic instability due to catecholamine imbalance. Monitoring blood pressure takes precedence over checking for infection in the early postoperative period.
Correct Answer is ["25.0"]
Explanation
Total volume to infuse = 1000 mL
Total time = 8 hours × 60 minutes = 480 minutes
Drop factor = 12 gtts/mL
Multiply volume by drop factor: 1000 × 12 = 12,000
Divide result by time in minutes: 12,000 ÷ 480 = 25
Answer: 25 gtts/min
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