Which statement by the client shows a correct understanding of how they should take their levothyroxine?

"My dose should skip the next dose if the medication makes me sleepy."

"I should take it after my noon meal."

"I should take it before breakfast on an empty stomach."

"I should stop taking it if my thyroid-stimulating hormone (TSH) level is high."

Answer and Explanation

The Correct Answer is C

A) Taking levothyroxine at bedtime may affect sleep, but this statement suggests an incorrect understanding of the dosing schedule.

B) Taking levothyroxine with a meal may interfere with its absorption. The medication is generally recommended to be taken on an empty stomach.

C) Taking levothyroxine before breakfast on an empty stomach is the standard recommendation for optimal absorption.

D) Stopping levothyroxine based on TSH levels should be done under the guidance of a healthcare provider, and it's not a routine approach to medication administration.

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Correct Answer is A

Explanation

a) St. John's Wort is known to increase the risk of bleeding, especially when used with anticoagulant medications. This effect is particularly concerning and may require adjustments in the treatment plan.

b) While St. John's Wort can interact with various drugs, increasing the risk of bleeding is a more immediate concern.

c) St. John's Wort does not counteract the effects of CNS depressants; it may actually enhance the effects of these drugs.

d) St. John's Wort is known to induce the metabolism of some drugs, potentially reducing their effectiveness, but this is not as immediately concerning as the risk of bleeding.

A. "Oral acyclovir may be used during pregnancy." B. "Intravenous antiviral agents will be used if an outbreak occurs." C. "Topical acyclovir must be used to control outbreaks." D. "Antiviral medications are not safe during pregnancy."

Correct Answer is A

Explanation

a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.

b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.

c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.

d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.

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Which statement by the client shows a correct understanding of how they should take their levothyroxine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

Correct Answer is A

Explanation

A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?

Correct Answer is A

Explanation

A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client education?

A pregnant client asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the client?

Parents ask the nurse why an over-the-counter cough suppressant with sedative side effects is not recommended for infants. Which response by the nurse is correct?

A nurse is performing a preoperative drug history on a client who is admitted to the hospital for surgery. To evaluate the risk of hemorrhage, the nurse will ask the client about antiplatelet and anticoagulant medications as well as which dietary supplement?

A client presents with tinea corporis, and the prescriber orders itraconazole. When educating the client about this medication, the nurse will include which statement?

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