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. Hypnosis: Not typically used for aggressive behavior disorders.

B. Cognitive-behavioral therapy (CBT). CBT is effective in modifying behavioral responses and addressing aggression through structured therapy sessions. CBT helps individuals recognize triggers for aggressive behavior and develop coping strategies.

C. Medication: Sometimes used adjunctively but not typically first-line for behavioral therapy.

D. Physical restraint: Used in emergencies but not a treatment for the disorder itself.

A. Pernicious anemia B. Folic acid deficiency anemia C. iron deficiency anemia D. Sickle cell anemia

Correct Answer is C

Explanation

A. Pernicious anemia: Typically involves vitamin B12 deficiency, not associated with heavy menstrual periods.

B. Folic acid deficiency anemia: Presents with similar symptoms but does not typically cause heavy menstrual bleeding.

C. Iron deficiency anemia. Iron deficiency anemia is characterized by low hemoglobin and hematocrit due to insufficient iron for red blood cell production. Symptoms of weakness, fatigue, and heavy menstrual bleeding are classic signs of iron deficiency anemia, which is confirmed by low hemoglobin and hematocrit levels.

D. Sickle cell anemia: Characterized by sickle-shaped red blood cells and is genetic in nature, not related to heavy menstrual bleeding.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What treatment is commonly used for aggressive behavior disorder?

Correct Answer is B

Explanation

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia?

Correct Answer is C

Explanation

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