A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?

Ginkgo biloba

Calcium

Vitamin C

Zinc

Answer and Explanation

The Correct Answer is B

Calcium can interfere with the absorption of levothyroxine when taken concurrently, potentially reducing its effectiveness. Therefore, it is recommended to separate the administration of these two medications by at least 4 hours to avoid this interaction.

A,C,D-No effect on absorption of levothyroxine

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Correct Answer is B

Explanation

Hypoglycemia is a potential complication of parenteral nutrition, especially if the infusion rate is too high or if the infusion is interrupted. The nurse should promptly address hypoglycemia by administering IV dextrose, which will help raise the client's blood glucose levels.
A. Discontinuing the infusion may be necessary if the cause of hypoglycemia is related to the parenteral nutrition solution or if the infusion rate needs adjustment. However, the immediate priority is to treat the hypoglycemia by providing a glucose source.
C. Warming the formula to room temperature is not relevant to treating hypoglycemia. Warming the formula might be done for other reasons, such as improving tolerance or reducing discomfort during administration.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia. Arterial blood gases are typically obtained to assess oxygenation and acid-base balance, not glucose levels.

A. Ginkgo biloba B. Coenzyme QIO C. Valerian D. Probiotics

Correct Answer is A

Explanation

Ginkgo biloba is a form of alternative medicine that is used due to its antioxidants and cardiovascular benefits. In addition to these, it has antiplatelet effects which increases the risk of bleeding when used concurrently with anticoagulants such as in clients receiving warfarin

Coenzyme QIO, Valerian and probiotics have no notable interactions with warfarin

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A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?

Correct Answer is A

Explanation

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