An older adult client with hypothyroidism has been prescribed levothyroxine. What instructions should the nurse provide?
Stop taking the medication if you feel drowsy.
Expect to take this medication for 4 to 6 weeks.
This medication may cause permanent hair loss.
Weigh yourself at the same time every day.
The Correct Answer is D
Choice A rationale
The statement “Stop taking the medication if you feel drowsy” is incorrect. Drowsiness is not a common side effect of levothyroxine, and stopping the medication abruptly can lead to withdrawal symptoms and a rebound of hypothyroid symptoms.
Choice B rationale
The statement “Expect to take this medication for 4 to 6 weeks” is incorrect. Levothyroxine is typically a lifelong therapy for individuals with hypothyroidism, not a short-term treatment.
Choice C rationale
The statement “This medication may cause permanent hair loss” is incorrect. While hair loss can be a side effect of levothyroxine, it is usually temporary and resolves as the body adjusts to the medication.
Choice D rationale
Weighing oneself at the same time every day is a good practice when taking levothyroxine. This can help monitor for changes in weight, which could indicate that the dose of levothyroxine needs adjustment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Based on the client’s symptoms and laboratory findings, the client is at the highest risk for developing sepsis due to white blood cell count.
Sepsis is a severe response to infection, and the elevated white blood cell count (15,000/mm³) along with fever, chills, and other symptoms indicate a significant infection that could lead to sepsis.
Correct Answer is C
Explanation
Choice A rationale
Drinking milk with the medication is not recommended because calcium can bind to alendronate, reducing its absorption.
Choice B rationale
Alendronate should be taken on an empty stomach, at least 30 minutes before the first food, beverage, or other medication of the day.
Choice C rationale
Patients should sit upright for at least 30 minutes after taking alendronate to prevent esophageal irritation.
Choice D rationale
Alendronate tablets should be swallowed whole, not chewed, to prevent oropharyngeal ulceration.
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