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."
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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Related Questions
Correct Answer is A
Explanation
A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.
B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.
C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.
D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.
Correct Answer is B
Explanation
A. The use-even one time-of any substance: Too broad and does not specify harm or misuse. Using a prescribed medication once wouldn't necessarily be misuse.
B. The use of a psychoactive compound/drug/substance in an amount or frequency that causes harm to the person or others. Defines misuse as harmful use impacting health or safety. Substance misuse involves using substances in a way that causes harm, which can include physical, psychological, or social consequences.
C. The use of any substance in a manner, situation, amount or frequency that can cause harm to users or to those around them: While this choice highlights potential harm, it lacks specificity regarding psychoactive substances. It’s a broader concept that may include non-psychoactive substances as well.
D. The use of a psychoactive compound/drug/substance that poses hazards to health and impacts all aspects of the client's life: This definition is comprehensive but not as succinct as choice B. It encompasses physical, psychological, and social consequences of substance misuse.
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