The client has been instructed about levothyroxine (Synthroid) therapy. Which statement by the client requires follow-up by the nurse?
"This medication takes a few weeks to work fully."
"This replaces the hormone my body used to produce."
"I may have to take this medication for the rest of my life."
"I take this each morning with breakfast."
The Correct Answer is D
Choice A reason: The statement about the medication taking a few weeks to work fully is accurate and does not require follow-up.
Choice B reason: The statement that levothyroxine replaces the hormone the body used to produce is correct and reflects an understanding of the therapy.
Choice C reason: Acknowledging the possibility of lifelong medication is appropriate for levothyroxine therapy in the case of hypothyroidism.
Choice D reason: Levothyroxine should be taken on an empty stomach, typically 30 minutes to an hour before breakfast, to ensure proper absorption. This statement indicates a misunderstanding that requires nurse follow-up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Encouraging ambulation is not a priority during a thyroid storm, as it can exacerbate symptoms.
Choice B reason: Sending a urine sample for culture is not related to the immediate management of thyroid storm.
Choice C reason: Monitoring temperature is crucial in the management of thyroid storm, as hyperthermia is a common and serious symptom.
Choice D reason: Administering levothyroxine during a thyroid storm would be contraindicated, as it could worsen the condition.
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Slowed movement when rising from a chair is a common symptom of Parkinson's disease, known as bradykinesia.
Choice B reason: Chronic diarrhea is not typically associated with Parkinson's disease.
Choice C reason: Difficulty swallowing, or dysphagia, is a common issue in Parkinson's disease due to impaired muscle control.
Choice D reason: A shuffling gait is characteristic of Parkinson's disease, often referred to as "festinating gait."
Choice E reason: Lower extremity edema is not a typical symptom of Parkinson's disease and may indicate other health issues.
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