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","C","D","F"]

Explanation

A. A quiet, dark environment is often helpful for clients with headaches, especially migraines. Bright lights and loud noises can exacerbate symptoms, so minimizing environmental stimuli can help the client rest and reduce discomfort.
B. Heat is typically not recommended for migraine headaches, as it can sometimes worsen the pain. For migraines, cold compresses or ice packs on the forehead may provide more relief. Heat is generally more effective for tension headaches or muscle-related pain.
C. Analgesics such as over-the-counter pain relievers (e.g., acetaminophen, ibuprofen) or prescribed medications can help manage headache pain and are often part of the treatment plan for headaches.
D. A gentle massage can help relieve the muscle tension that often contributes to tension headaches. Massaging the neck, shoulders, and scalp may help reduce headache symptoms.
E. Keeping the head of the bed flat is not generally recommended for headache relief. In fact, elevating the head of the bed slightly may help relieve pressure and improve comfort, especially in cases of sinus headaches or headaches related to congestion.
F. Many clients with headaches, especially migraines, may experience nausea or vomiting. Administering prescribed antiemetic medications can help alleviate these symptoms and improve the client’s comfort.

A. warfarin (Coumadin) B. pantoprazole (Protonix) C. metformin (Glucophage) D. fluoxetine (Prozac)

Correct Answer is C

Explanation

A. While warfarin is an anticoagulant, it is not contraindicated with contrast imaging. However, the nurse should monitor for bleeding and report any abnormal findings, but this medication is not a priority to report immediately in the context of a CT scan.
B. Pantoprazole is a proton pump inhibitor used to treat acid reflux, and it does not pose any specific concerns regarding the administration of contrast for an abdominal CT scan.
C. Metformin should be reported immediately. It is contraindicated in clients undergoing contrast procedures because it can increase the risk of lactic acidosis, particularly in those with renal impairment. Metformin should generally be withheld 48 hours before and after receiving contrast material to avoid this risk.
D. Fluoxetine is an antidepressant (SSRI) and does not have a direct interaction with the contrast medium used in CT scans. It is not a priority to report in this situation.

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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 planning care for a client experiencing headaches. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

Correct Answer is ["A","C","D","F"]

Explanation

The nurse is preparing a client who has diabetes mellitus, type 2 for an abdominal CT scan with contrast. Which of the following prescribed medications, taken by the client, should be reported to the health care provider immediately?

Correct Answer is C

Explanation

The nurse is reviewing the hemoglobin A1C (HgbA1C) results that showed 6.9% with a client who has diabetes mellitus. The client asked the nurse what the result means. Which of the following statements by the nurse is correct?

The nurse is caring for an older adult client with cranial arteritis. The nurse should understand that this type of headache is caused by which of the following mechanisms?

The nurse is teaching a female client about ways to prevent a migraine. Which of the following information should the nurse include in the teaching?.

The nurse is administering prescribed medication to a client experiencing status epilepticus. Which of the following medications should the nurse question?

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

The nurse is caring for a client who is having an active seizure. Which of the following actions should the nurse take? Select all that apply.

The nurse is assessing an older adult client with a diagnosis of hypothyroidism. The nurse understands that the client has an increased risk for which of the following?

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?