A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

"Take this medication before a meal or several hours after a meal."

"Take this medication during your morning meal."

"Take this medication with a full glass of water or fruit juice."

"Take this medication with high-protein foods."

Answer and Explanation

The Correct Answer is A

A. "Take this medication before a meal or several hours after a meal." Levothyroxine absorption can be affected by food, so it's generally recommended to take it on an empty stomach to ensure consistent absorption. Food, particularly high-fiber or calcium-rich foods, can interfere with levothyroxine absorption, hence taking it before meals or a few hours after meals helps optimize its effectiveness.

B. "Take this medication during your morning meal.": This may not ensure consistent absorption as food can still interfere with medication absorption.

C. "Take this medication with a full glass of water or fruit juice.": While water is recommended for swallowing pills, it doesn't address timing or food interactions.

D. "Take this medication with high-protein foods.": Protein content in food does not affect levothyroxine absorption directly.

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Correct Answer is B

Explanation

A. "DIC is characterized by an elevated platelet count." Incorrect; DIC typically causes thrombocytopenia.

B. "DIC is caused by abnormal coagulation involving fibrinogen." DIC involves widespread activation of coagulation factors leading to the formation of microthrombi and consumption of clotting factors like fibrinogen. Understanding the pathophysiology helps in managing DIC effectively.

C. "DIC is controllable with lifelong heparin usage." Heparin is not used in DIC management due to the risk of bleeding.

D. "DIC is a genetic disorder involving a vitamin K deficiency." DIC is not genetic and is not caused by vitamin K deficiency.

A. Hyperextend the client's neck. B. Instruct the client to deep breathe every 4 hr. C. Place the head of the client's bed in the flat position. D. Check the client's voice every 2 hr.

Correct Answer is B

Explanation

A. Hyperextend the client's neck: Incorrect; this can strain the surgical site. Neck should be supported in a neutral position.

B. Instruct the client to deep breathe every 4 hr: Deep breathing exercises prevent respiratory complications and promote lung expansion postoperatively. Helps prevent atelectasis and pneumonia.

C. Place the head of the client's bed in the flat position: Incorrect; semi-Fowler's position is preferred to reduce risk of airway compromise and edema.

D. Check the client's voice every 2 hr: Monitoring voice changes helps detect recurrent laryngeal nerve injury, a complication of thyroidectomy. Changes in voice quality can indicate vocal cord paralysis or injury.

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A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

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