A patient has received a new prescription for levothyroxine.
Which statement made by the patient indicates that the education was effective?

Avoid the use of iron supplements.

Consume foods that are high in iodine.

Take medication on an empty stomach.

Administer levothyroxine at bedtime.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Iron supplements can interfere with the absorption of levothyroxine, reducing its effectiveness. However, this doesn’t mean that iron should be completely avoided. It’s generally recommended to take iron supplements and levothyroxine at different times of the day.

Choice B rationale

While iodine is a key component of thyroid hormones, consuming foods high in iodine doesn’t necessarily improve the effectiveness of levothyroxine. In fact, excessive iodine intake can sometimes cause or worsen hypothyroidism.

Choice C rationale

Levothyroxine should be taken on an empty stomach, typically 30 minutes to an hour before breakfast. This allows for optimal absorption of the medication.

Choice D rationale

Although it’s not harmful to take levothyroxine at bedtime, studies suggest that taking it on an empty stomach in the morning may allow for better absorption.

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Correct Answer is A

Explanation

Choice A rationale

If a patient is experiencing increasingly frequent oily stools and gas after taking orlistat for one week, the nurse should ask the patient to describe her dietary intake history for the last

several days. Orlistat works by inhibiting the absorption of dietary fats, which are then excreted in the stool. Consuming a diet high in fat can increase the side effects of orlistat, which include oily or fatty stools and gas.

Choice B rationale

Advising the patient to stop taking the drug and contact her healthcare provider is not the first step. The nurse should first assess the patient’s dietary habits as the side effects may be due to a high-fat diet.

Choice C rationale

Instructing the patient to increase her intake of saturated fats over the next week is not advisable. A high-fat diet can increase the side effects of orlistat.

Choice D rationale

Obtaining a stool specimen to evaluate for occult blood and fat content is not necessary in this case. The symptoms described by the patient are common side effects of orlistat and can often be managed by adjusting the diet.

A. For long-term control of pain and swelling. B. Until a smaller angle can be restored. C. Until the excess pressure is reduced. D. For long-term control of normal eye pressure.

Correct Answer is D

Explanation

Choice A rationale

Eye drops for glaucoma are not typically used for long-term control of pain and swelling.

Choice B rationale

Restoring a smaller angle is not the goal of treatment for open-angle glaucoma.

Choice C rationale

While reducing excess pressure is a goal of glaucoma treatment, eye drops are typically used for long-term control rather than a temporary reduction of pressure.

Choice D rationale

Eye drops for open-angle glaucoma are used for long-term control of normal eye pressure. They need to be used every day, and depending on the type of medicine, may need to be used once, twice, or up to 4 times a day.

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A patient has received a new prescription for levothyroxine.Which statement made by the patient indicates that the education was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After taking orlistat for one week, a female patient tells the home health nurse that she is experiencing increasingly frequent oily stools and gas.What action should the nurse take?

Correct Answer is A

Explanation

A patient with open-angle glaucoma asks the nurse about the duration of use for the prescribed eye drops. What is the nurse’s accurate response?

Correct Answer is D

Explanation

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A patient has received a new prescription for levothyroxine.
Which statement made by the patient indicates that the education was effective?