The nurse is caring for an older patient with hypothyroidism and receives an order to administer 0.25 mg of levothyroxine sodium (Synthroid) PO every morning before breakfast. The nurse has on hand 100 mcg/tablet. How many tablet(s) should the nurse administer?
2.5 tablets
1 tablet
3 tablets
0.5 tablet
The Correct Answer is A
0.25 mg = 250 mcg
Number of tablets = Desired dose (mcg) / Tablet strength (mcg) Plugging in the given values:
Number of tablets = 250 mcg / 100 mcg/tablet Number of tablets = 2.5 tablets
Therefore, the nurse should administer 2.5 tablets of levothyroxine sodium (Synthroid) to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Reflex tone refers to the neurological response of the body to stimuli and is not directly related to the action or monitoring of anticoagulant therapy. While assessing reflexes might be important for overall patient health, it is not specifically relevant to monitoring the effects of warfarin. Reflex tone does not provide information on the anticoagulation status or risk of bleeding associated with warfarin therapy.
B. Checking the body for bruising helps assess the safety of warfarin therapy and may indicate the need for dosage adjustments or further investigation if bruising is excessive. However, while monitoring for bruising is essential, it is not the primary method for assessing the effectiveness and safety of anticoagulant therapy.
C. While monitoring kidney function is relevant for overall medication management, it is not the primary focus for directly assessing the effectiveness or safety of warfarin therapy. Kidney function is more related to adjusting doses and avoiding potential complications.
D. Regularly reviewing PT is crucial for managing warfarin therapy because it directly reflects the anticoagulation effect of the medication. The International Normalized Ratio (INR), derived from PT, is used to ensure the patient is within the therapeutic range for effective anticoagulation while minimizing the risk of bleeding.
Correct Answer is D
Explanation
A. While dietary changes can be helpful for managing constipation, it's still important for the patient to consult with their healthcare provider before using laxatives.
B. This statement is partially correct, but it's important to note that not all laxatives interact with all medications. The patient should consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
C. While it's important for the patient to be aware of the potential side effects of laxatives, the most important step is to consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
D. While constipation can be a bothersome issue, it's important for patients to consult with their healthcare provider before using over-the-counter laxatives. This is especially true for patients who are already taking prescription medications, as laxatives can interact with other drugs and potentially cause adverse effects.
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