The nurse is administering prescribed levothyroxine to a client on the medical unit. How should this medication be given for best absorption?

With a glass of milk.

On a full stomach.

With orange juice.

Two hours before a meal.

Answer and Explanation

The Correct Answer is D

A. Milk contains calcium, which can interfere with the absorption of levothyroxine and decrease its effectiveness. It is not recommended to take it with milk.
B. Levothyroxine should be taken on an empty stomach for optimal absorption. Taking it with food, especially on a full stomach, may reduce its effectiveness.
C. While vitamin C in orange juice may enhance the absorption of some medications, it is not recommended for levothyroxine. It is best absorbed when taken with water, not juice.
D. Two hours before a meal Levothyroxine should be taken on an empty stomach, ideally 30 to 60 minutes before breakfast, but taking it at least two hours before a meal ensures the best absorption and avoids food interactions.

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Correct Answer is A

Explanation

A. The priority for treating delirium is to identify and address the underlying cause. Delirium is often a symptom of an acute condition such as infection, metabolic disturbances, medication side effects, or other physical issues. Treating the root cause of delirium can help resolve the condition more effectively.
B. While creating a calm, quiet environment can help reduce confusion and agitation, it is not the most critical aspect of treatment. The main focus should be on addressing the cause of the delirium.
C. Reorienting the client is important for safety and reducing confusion, but it will not be sufficient to resolve the delirium if the underlying cause is not addressed. Reorientation is a supportive measure, not the priority intervention.
D. Although monitoring nutrition is important for overall health, it is not the first priority in treating delirium unless malnutrition is identified as a contributing factor to the delirium.

A. Serum potassium B. Serum magnesium C. Serum calcium D. Serum chloride

Correct Answer is A

Explanation

A. Polyuria, a common symptom in uncontrolled diabetes mellitus, can lead to excessive urinary loss of potassium, increasing the risk of hypokalemia. Monitoring serum potassium is crucial because imbalances can affect cardiac and muscle function.
B. While magnesium is important, it is not the primary concern in the context of polyuria related to diabetes unless specific symptoms or complications suggest a deficiency.
C. Calcium is not as directly affected by polyuria from diabetes as potassium is.
D. Chloride levels may fluctuate with fluid loss, but potassium remains the more critical electrolyte to monitor in this scenario.

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The nurse is administering prescribed levothyroxine to a client on the medical unit. How should this medication be given for best absorption?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with delirium. Which of the following should be the priority for treatment?

Correct Answer is A

Explanation

The nurse is reviewing the laboratory results for a client with diabetes mellitus, type 2 who has polyuria. Which of the following laboratory findings would be important to monitor?

Correct Answer is A

Explanation

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