A 40-year-old woman had a total thyroidectomy for hyperthyroidism after medical management was not successful. The nurse is preparing to teach the client about her thyroid hormone replacement (levothyroxine).
Which health teaching will the nurse include about this drug?
Select all that apply.
"You will need to get frequent laboratory tests to monitor your thyroid hormone levels."
"You will only need to take the drug for about 3 to 6 months."
"Don't take more of the drug than prescribed to prevent hyperthyroidism symptoms."
"Check with your primary health care provider if you take any other medication or herb.”
Correct Answer : A,C,D
The correct answers are a, c, and d. The client will need to take thyroid hormone replacement (levothyroxine) for the rest of her life since she had a total thyroidectomy. The dosage will need to be carefully monitored to ensure that it is correct, and laboratory tests will need to be done frequently to monitor thyroid hormone levels. Taking too much of the drug can cause hyperthyroidism symptoms, so it is important not to take more than prescribed. It is also important to check with a healthcare provider before taking any other medications or herbs, as they can interact with levothyroxine.
Answer b is incorrect because the client will need to take the drug for the rest of her life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The patient received 38 U of NPH insulin at 7:00 AM, and by 1:00 PM, the insulin has been active for approximately 6 hours. The patient has missed lunch, which may lead to hypoglycemia, especially with the activity of the insulin.
Sending a glass of orange juice will provide the patient with a quick source of glucose to prevent hypoglycemia. If testing is further delayed, the nurse may request that the patient be allowed to eat lunch first or save the lunch tray for later, but immediate intervention is necessary to prevent hypoglycemia. Discontinuing the evening dose of insulin is not an appropriate action and should not be considered without consulting the healthcare provider.
Correct Answer is D
Explanation
Yes, that's correct. Insulin lispro (Humalog) is a rapid-acting insulin, which means it begins to work quickly after injection, usually within 15 minutes, and it peaks in about 1 to 2 hours. It typically lasts for 3 to 4 hours in the body.
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