A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should:
a. counsel the patient to take the medication with food.
b. tell the patient that changing brands of the medication should be avoided.
c. instruct the patient to stop taking the medication if signs of thyrotoxicosis occur.
d. tell the patient that the drug may be stopped when thyroid function tests stabilize.
B
Patients should be told not to change brands of the medication; there is potential variability in the bioequivalence between manufacturers. The medication should be taken at approximately the same time each day before breakfast or on an empty stomach. Patients should be instructed to contact the provider if signs of thyrotoxicosis are present. Thyroid replacement medications are usually given for life.
You might also like to view...
A worker in a department store fell through a plate glass window, causing a deep laceration on the right mid-thigh that is pumping bright red arterial blood. The best initial intervention of the first responder should be to:
a. elevate the leg. b. bunch up the worker's shirt and press it against the wound. c. press the palm of hand in the groin to compress the femoral artery. d. tie the worker's belt tightly around his upper thigh to stop bleeding.
A client is in extreme pain after he was involved in a motor vehicle accident, and morphine has been ordered every hour for pain
The nurse injects saline into the client's IV line and takes the morphine for herself. The nurse is violating which principle of ethics? a. Autonomy b. Utilitarianism c. Beneficence d. Dilemmas
For which of the following situations is breastfeeding considered tolerable (reluctantly) under strict conditions?
1. The new mother is HIV positive. 2. The new mother uses hard drugs like heroin or cocaine. 3. The new mother smokes marijuana. 4. The new mother smokes cigarettes.
A client comes into the emergency department after exposure to a biological agent. What should the nurse do after removing the victim's clothing?
1. Place the victim in an isolation room 2. Administer a broad spectrum antibiotic 3. Send the victim home to wash with soap and water 4. Cleanse exposed areas with sodium hypochlorite and tepid water