A nurse is caring for a client in an outpatient clinic.
Complete the following sentence by using the lists of options.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Levothyroxine is best absorbed on an empty stomach, typically taken 30–60 minutes before breakfast, and separately from other medications, especially multivitamins (iron and calcium) and esomeprazole (a proton pump inhibitor). The client has been taking levothyroxine after breakfast with other medications, which can interfere with its absorption. This leads to the risk of decreased therapeutic effectiveness, even though the current TSH is within normal range and free T4 is at the high end of normal.
Multivitamins (often contain calcium or iron): Can bind to levothyroxine and reduce its absorption. Esomeprazole: Alters gastric pH, which can impair levothyroxine absorption. Food intake: Taking levothyroxine with food reduces its bioavailability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bradycardia is not a common side effect of buspirone.
B. Hypothermia is unrelated to buspirone use.
C. Hypokalemia is not associated with this medication.
D. Dizziness is one of the most commonly reported adverse effects of buspirone, especially early in therapy.
Correct Answer is ["B","D","E"]
Explanation
A. Alopecia is not a common adverse effect of atorvastatin.
B. Elevated liver enzymes can occur with atorvastatin use and should be monitored.
C. Dry cough is not associated with atorvastatin, but it is a known side effect of ACE inhibitors.
D. Jaundice can indicate liver dysfunction, a potential side effect of atorvastatin, and should be reported.
E. Muscle weakness can be a sign of rhabdomyolysis, a serious adverse effect of atorvastatin.
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