An older adult patient has been using levothyroxine (Synthroid) for several years on an outpatient basis. The patient has recently sought care, with complaints that are consistent with hypothyroidism
To which of the patient's following statements may the nurse attribute the decreased effect of Synthroid? A) "I've been using a lot of antacids lately because of my indigestion."
B) "My daughter and I have started the Atkin's diet to try to lose some weight."
C) "Overall, I'd say that I'm under a lot of stress lately."
D) "I've stopped taking aspirin for my arthritis and started using Tylenol."
A
Feedback:
Antacids may decrease the effect of levothyroxine. Acetaminophen, stress, and high protein intake do not have this effect.
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