An older adult client with hypothyroidism has been prescribed levothyroxine. What instructions should the nurse provide?

Stop taking the medication if you feel drowsy.

Expect to take this medication for 4 to 6 weeks.

This medication may cause permanent hair loss.

Weigh yourself at the same time every day.

Answer and Explanation

The Correct Answer is D

Choice A rationale

The statement “Stop taking the medication if you feel drowsy” is incorrect. Drowsiness is not a common side effect of levothyroxine, and stopping the medication abruptly can lead to withdrawal symptoms and a rebound of hypothyroid symptoms.

Choice B rationale

The statement “Expect to take this medication for 4 to 6 weeks” is incorrect. Levothyroxine is typically a lifelong therapy for individuals with hypothyroidism, not a short-term treatment.

Choice C rationale

The statement “This medication may cause permanent hair loss” is incorrect. While hair loss can be a side effect of levothyroxine, it is usually temporary and resolves as the body adjusts to the medication.

Choice D rationale

Weighing oneself at the same time every day is a good practice when taking levothyroxine. This can help monitor for changes in weight, which could indicate that the dose of levothyroxine needs adjustment.

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Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

Based on the provided information, the nurse should anticipate a provider prescription for 0.9% sodium chloride and Lorineiv 4mg every 4h.

This is because the patient is postoperative and may require fluid replacement to maintain hydration and manage mild discomfort.

A. Elevate your legs on pillows when in bed. B. Apply a heating pad for 15 minutes twice per day. C. Begin an exercise program that includes walking. D. Wear knee-high support hose during the day.

Correct Answer is C

Explanation

Elevating the legs on pillows when in bed is not typically recommended for patients with peripheral arterial disease (PAD). This position can actually decrease arterial blood flow to the legs and worsen symptoms.

Choice B rationale

Applying a heating pad for 15 minutes twice per day is not a standard recommendation for managing PAD. While heat can increase blood flow, it can also lead to burns in patients with decreased sensation due to PAD1.

Choice C rationale

Beginning an exercise program that includes walking is often recommended for patients with PAD. Regular physical activity can improve symptoms of claudication (pain caused by reduced blood flow) and increase overall cardiovascular health.

Choice D rationale

Wearing knee-high support hose during the day is not typically recommended for patients with PAD. Compression stockings are more often used in the management of venous rather than arterial conditions.

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An older adult client with hypothyroidism has been prescribed levothyroxine. What instructions should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

A nurse is providing education to a patient who has been diagnosed with peripheral arterial disease. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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