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 D

Explanation

A. A needle biopsy of the thyroid is typically done under local anesthesia, not general anesthesia. The client would be awake during the procedure, although they may be given a sedative to help them relax.
B. A needle biopsy is used to obtain a sample of tissue for testing, not to remove the cancer. The procedure helps diagnose the presence of cancer, but further treatment like surgery would be necessary to remove any cancer.
C. While a needle biopsy can confirm the presence of cancer, it does not provide information about the stage of cancer. Additional imaging and tests would be required to determine the stage.
D. Although the procedure typically involves inserting a needle through the skin (often without making a large incision), the biopsy involves removing a small sample of tissue for examination. This is the correct understanding of a needle biopsy.

A. "Your HgbA1C indicates the need for better dietary control." B. "Your HgA1C indicates the need for more insulin." C. "Your HgbA1C indicates the need for an insulin pump." D. "Your HgbA1C indicates good glycemic control"

Correct Answer is A

Explanation

A. The HgbA1C result of 6.9% is slightly above the recommended target of less than 7% for many people with diabetes. While it may be an improvement compared to higher levels, it indicates that better dietary control (such as managing carbohydrate intake, portion sizes, and meal timing) and possibly more rigorous lifestyle modifications are needed to bring the blood sugar levels within optimal range.
B. While insulin adjustments may be necessary for some individuals, an HgbA1C of 6.9% does not immediately suggest the need for more insulin. The decision to increase insulin depends on the individual’s specific needs, blood glucose patterns, and current treatment plan.
C. An HgbA1C of 6.9% is not an indication that an insulin pump is necessary. Insulin pumps are used for specific situations where more precise insulin delivery is needed or for people who have difficulty managing diabetes with multiple daily injections. The need for an insulin pump is not typically based on a single HgbA1C result.
D. While a result of 6.9% is relatively close to the target goal for many people with diabetes, it is slightly above the ideal target of <7%. This result suggests that while the client’s blood sugar is somewhat controlled, there is room for improvement to achieve optimal control.

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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 about a needle biopsy procedure, of the thyroid gland, to diagnose thyroid cancer. Which of the following statements by the client would indicate the teaching was successful?

Correct Answer is D

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?

Correct Answer is A

Explanation

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