Which statement by the client shows a correct understanding of how they should take their levothyroxine?

"My dose should skip the next dose if the medication makes me sleepy."

"I should take it after my noon meal."

"I should take it before breakfast on an empty stomach."

"I should stop taking it if my thyroid-stimulating hormone (TSH) level is high."

Answer and Explanation

The Correct Answer is C

A) Taking levothyroxine at bedtime may affect sleep, but this statement suggests an incorrect understanding of the dosing schedule.

B) Taking levothyroxine with a meal may interfere with its absorption. The medication is generally recommended to be taken on an empty stomach.

C) Taking levothyroxine before breakfast on an empty stomach is the standard recommendation for optimal absorption.

D) Stopping levothyroxine based on TSH levels should be done under the guidance of a healthcare provider, and it's not a routine approach to medication administration.

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Correct Answer is B

Explanation

A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.

B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.

C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.

D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.

A. "Take it with an antacid." B. Take 30 to 60 minutes before meals. C. "Take it whenever indigestion occurs." D. "Take it immediately after meals."

Correct Answer is B

Explanation

a) Taking sucralfate with an antacid is not recommended, as antacids can interfere with the effectiveness of sucralfate.

b) Sucralfate should be taken 30 to 60 minutes before meals to ensure optimal binding to the gastric mucosa and to form a protective barrier.

c) Taking sucralfate whenever indigestion occurs may not provide consistent protection, as its effectiveness is enhanced when taken before meals.

d) Taking sucralfate immediately after meals is not recommended, as it may interfere with its ability to form a protective coating on the gastric mucosa.

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Which statement by the client shows a correct understanding of how they should take their levothyroxine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

Correct Answer is B

Explanation

A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client education?

Correct Answer is B

Explanation

The nurse is doing discharge teaching with the parent of an asthmatic child who will be going home on steroids. Which of these comments by the parent would indicate an accurate understanding of discharge teaching regarding these medications?

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