The nurse is reviewing the medication list with a client with hypothyroidism who is prescribed levothyroxine (Synthroid). The nurse should notify the health care provider if the client reported taking which of the following medications?

magnesium hydroxide (Milk of Magnesia)

amitriptyline (Elavil)

acetaminophen (Tylenol)

gabapentin (Neurontin)

Answer and Explanation

The Correct Answer is A

A. Magnesium hydroxide can interfere with the absorption of levothyroxine (Synthroid) and reduce its effectiveness. The nurse should notify the healthcare provider if the client is taking magnesium hydroxide or any other antacid that contains magnesium, calcium, or aluminum because these can decrease the absorption of levothyroxine.
B. While amitriptyline (an antidepressant) may interact with other medications, it does not typically interfere with levothyroxine. However, the nurse should always be cautious about potential interactions, especially with medications that affect the central nervous system.
C. Acetaminophen (Tylenol) does not typically interact with levothyroxine. It is safe to take acetaminophen while on levothyroxine.
D. Gabapentin (Neurontin) does not generally interfere with levothyroxine absorption or action. However, as with any medication, the nurse should be aware of other potential interactions based on the client’s overall health.

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Correct Answer is A

Explanation

A. Running on a treadmill may not be the safest or most beneficial exercise for someone with Parkinson's disease. People with Parkinson's disease often experience motor symptoms like rigidity, bradykinesia (slowness of movement), and balance issues, which can make running difficult and increase the risk of falls. Low-impact exercises like walking, swimming, or cycling are generally recommended to maintain mobility and safety.
B. This is appropriate. Stretching exercises are important for maintaining flexibility and preventing muscle stiffness in Parkinson's disease. Physical therapy can help guide the client in exercises that are safe and beneficial.
C. This is a good choice. Swimming provides a low-impact, full-body workout that can help improve strength, flexibility, and cardiovascular fitness, which is beneficial for individuals with Parkinson's disease.
D. Gardening is an appropriate and enjoyable activity for someone with Parkinson's disease. It encourages movement and is a great way to engage in physical activity while also promoting emotional well-being.

A. "It would be a good idea to increase fiber in my diet." B. "After a six-month course of this treatment I can stop taking the medication." C. "I know that I need to be careful when taking other medications." D. "I will need to have blood drawn to monitor my levels."

Correct Answer is B

Explanation

A. Increasing fiber can be beneficial for clients with hypothyroidism, as constipation is a common symptom of this condition. It helps improve bowel movements and overall gastrointestinal function.
B. Hypothyroidism is a lifelong condition, and thyroid replacement therapy is typically needed for life. The client must understand that they cannot stop taking the medication after a set period unless instructed by a healthcare provider.
C. Some medications can interfere with thyroid hormone replacement therapy, so it is important to be cautious and consult a healthcare provider before taking any new medications.
D. Regular monitoring of thyroid hormone levels is important to ensure that the thyroid replacement therapy is at the correct dosage. This helps prevent under- or over-treatment.

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The nurse is reviewing the medication list with a client with hypothyroidism who is prescribed levothyroxine (Synthroid). The nurse should notify the health care provider if the client reported taking which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has taught a client newly diagnosed with Parkinson's disease ways to maintain mobility. Which of the following statements by the client would indicate the need for further teaching.

Correct Answer is A

Explanation

The nurse has taught a client with hypothyroidism about thyroid replacement therapy. Which of the following statements by the client would indicate the need for more teaching?

Correct Answer is B

Explanation

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