A patient, newly diagnosed with hypothyroidism, has received a prescription for thyroid replacement therapy. The nurse will instruct the patient to take this medication at which time of day?
At bedtime
With the evening meal
30 minutes before breakfast and other medication
With the noon meal
The Correct Answer is C
A. At bedtime: Thyroid replacement therapy, such as levothyroxine, should not be taken at bedtime because absorption may be reduced due to the body’s metabolism slowing down during sleep. The medication is best absorbed when taken on an empty stomach.
B. With the evening meal: Levothyroxine should not be taken with food, as certain foods (like those rich in fiber, calcium, and iron) can interfere with its absorption. It should be taken on an empty stomach.
C. 30 minutes before breakfast and other medication: Levothyroxine should be taken 30 minutes to 1 hour before breakfast with a full glass of water. This allows the medication to be absorbed properly without interference from food or other medications.
D. With the noon meal: Taking levothyroxine with meals can reduce its absorption, and the patient should avoid food for at least 30 minutes after taking the medication. Taking it before breakfast is the most effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The patient has recently received a raise and a promotion at work: Positive life events, such as a raise or promotion, are less likely to cause significant worsening of symptoms. Positive changes are generally less impactful than negative stressors on thyroid conditions.
B. The patient has recently lost their job and their mother has recently been diagnosed with breast cancer: Losing a job and dealing with a loved one's serious illness can lead to significant stress, which can contribute to increased thyroid hormone production and worsen hyperthyroid symptoms.
C. The patient has recently changed their bedtime routine and now is getting 7-8 hours of sleep each night: Adequate rest (7-8 hours per night) is beneficial for overall health, including thyroid function. Consistent sleep routine can help improve symptoms of Graves' disease.
D. The patient has recently lost 10 lbs because they have modified their dietary intake and began walking 1-2 miles each day: Exercise and weight loss from healthy lifestyle changes (diet and walking) are generally beneficial and can improve symptoms of Graves' disease.
Correct Answer is C
Explanation
A. “I may need calcium replacement after surgery.": After a complete thyroidectomy, there is a risk of damage to the parathyroid glands, which regulate calcium levels. Clients may require calcium supplementation if their parathyroid function is affected.
B. “I need to take thyroid hormones for the rest of my life.": After a complete thyroidectomy, the client will require lifelong thyroid hormone replacement to maintain normal metabolic function, as the body no longer produces thyroid hormones.
C. “After surgery, I won't need to take thyroid medication.": After a complete thyroidectomy, the client will definitely need thyroid hormone replacement for the rest of their life, as their body can no longer produce thyroid hormones naturally.
D. “I can receive pain medication if I feel that I need it.": It is important for the nurse to ensure the client knows that pain management is available as needed after surgery to help with comfort and recovery.
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