The nurse reinforces instructions regarding when to take levothyroxine and determines teaching was effective when the client states the medication should be taken in which manner?

30 to 60 minutes before breakfast

At bedtime

When they feel fatigued

With an antacid

Answer and Explanation

The Correct Answer is B

a) Levothyroxine is usually recommended to be taken 30 to 60 minutes before breakfast to enhance absorption, but this is not the answer indicated by the client's statement.

b) Taking levothyroxine at bedtime is another acceptable option and may be more convenient for some individuals. Both options (morning or bedtime) are valid.

c) Taking levothyroxine when feeling fatigued is not a specific guideline for medication administration.

d) Taking levothyroxine with an antacid may interfere with absorption and is not recommended.

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Correct Answer is A

Explanation

Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.

Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.

Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.

Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.

A. St. John's Wort B. Coenzyme Q-10 C. Ginkgo biloba D. Ma Huang

Correct Answer is C

Explanation

A) St. John's Wort is not typically associated with an increased risk of bleeding.

B) Coenzyme Q-10 is not known to have significant anticoagulant or antiplatelet effects.

C) Ginkgo biloba is a dietary supplement that may increase the risk of bleeding, and its use should be assessed preoperatively.

D) Ma Huang (ephedra) is associated with cardiovascular stimulation rather than anticoagulant effects.

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The nurse reinforces instructions regarding when to take levothyroxine and determines teaching was effective when the client states the medication should be taken in which manner?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm?

Correct Answer is A

Explanation

A nurse is performing a preoperative drug history on a client who is admitted to the hospital for surgery. To evaluate the risk of hemorrhage, the nurse will ask the client about antiplatelet and anticoagulant medications as well as which dietary supplement?

Correct Answer is C

Explanation

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