Which medication teaching point is most important for a patient prescribed levothyroxine?

"Store the medication in the bathroom medicine cabinet."

"You may stop the medication once your symptoms improve."

"Take the medication with milk to reduce stomach upset."

"Notify the provider if you experience chest pain or palpitations."

Answer and Explanation

The Correct Answer is D

A. "Store the medication in the bathroom medicine cabinet.": Levothyroxine should be stored in a cool, dry place away from moisture and heat. Bathrooms are typically humid environments, which can degrade the medication, making this advice unsafe.

B. "You may stop the medication once your symptoms improve.": Levothyroxine is a lifelong therapy for most patients with hypothyroidism. Abrupt discontinuation can lead to recurrence of symptoms and potentially severe hypothyroid complications. Patients should not stop the medication without provider guidance.

C. "Take the medication with milk to reduce stomach upset.": Calcium and certain minerals in milk can interfere with levothyroxine absorption. The medication should be taken on an empty stomach with water, typically 30–60 minutes before food, to ensure effectiveness.

D. "Notify the provider if you experience chest pain or palpitations.": Levothyroxine increases metabolic rate and can precipitate tachycardia, palpitations, or angina if the dose is excessive. Mon

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Correct Answer is C

Explanation

A. A room that is within view of the nurses' station: While proximity to the nurses’ station may aid observation, it does not prevent airborne transmission of tuberculosis. Infection control measures require more than visual monitoring.

B. A room in the ICU: ICU placement is unnecessary unless the client requires intensive monitoring or life support. TB precautions are based on infection control, not acuity of care alone.

C. Negative pressure airborne isolation room: Active tuberculosis is transmitted via airborne droplets. A negative pressure room prevents contaminated air from spreading to other areas of the unit, protecting other clients and staff. This is the standard recommendation for infection control.

D. A room with another nonsurgical client: Placing a client with active TB in a shared room risks exposing other patients to airborne infection. Cohorting is only safe with clients who have the same airborne infection.

A. Whole grains B. Poached eggs C. Ripe banana D. Baked chicken

Correct Answer is A

Explanation

A. Whole grains: Whole grains provide dietary fiber that supports gastrointestinal motility, which is often reduced in hypothyroidism due to slowed metabolism. They also supply B vitamins and sustained energy that help counter fatigue and weight gain commonly seen in this condition. Including whole grains supports overall metabolic and digestive health.

B. Poached eggs: Eggs are a source of protein and iodine, but they do not specifically address the common metabolic and gastrointestinal effects of hypothyroidism. Excessive intake may contribute to increased cholesterol, which can already be elevated in hypothyroid states.

C. Ripe banana: Bananas provide potassium and carbohydrates but do not significantly influence thyroid hormone production or metabolic slowing. While nutritionally acceptable, they do not target the primary dietary concerns associated with hypothyroidism. Their benefit is limited.

D. Baked chicken: Lean protein supports muscle maintenance but does not directly address constipation or metabolic slowing common in hypothyroidism. Protein intake should be balanced rather than emphasized. This option lacks specific relevance to thyroid-related nutritional needs.

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Which medication teaching point is most important for a patient prescribed levothyroxine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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