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. 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.

A. The risk of respiratory depression increases over time. Use your incentive spirometer to assist with this normal side effect. B. You are addicted and should take a different medication. We can discuss this with your provider. C. Over time, people can develop a tolerance to opioids. We can discuss increasing your dose with the provider. D. Take your medication more often to help control the pain. You can double the frequency if needed.

Correct Answer is C

Explanation

a) Mentioning respiratory depression is not directly addressing the reported need for increased pain relief and might cause unnecessary concern about a side effect.

b) Accusing the client of addiction without further assessment or consideration of medical guidance is not appropriate and may damage the therapeutic relationship.

c) Developing tolerance to opioids is a common phenomenon, and discussing an increase in dosage with the healthcare provider is a reasonable response.

d) Advising the client to take the medication more often without consulting the healthcare provider can lead to unsafe practices and is not recommended.

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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

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 client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports needing increased doses for pain. Which of the following is a proper response?

Correct Answer is C

Explanation

To prevent yellow or brown discoloration of teeth, tetracycline use should be avoided in which of the following clients?

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