A client has been prescribed levothyroxine (Levothroid). What medication information should the nurse provide?
1. "It may take a few weeks for you to see the full benefits from this drug."
2. "Be sure to keep all of your follow-up appointments."
3. "Take this medication at whatever time you eat your evening meal."
4. "Do not start a fiber laxative without first discussing it with your health care team."
5. "Take your calcium supplement at least 4 hours after taking this drug."
Correct Answer: 1,2,4,5
Rationale 1: When given orally, it may take up to 3 weeks for the full effect of the drug to be realized.
Rationale 2: Serum TSH levels will be drawn frequently as the client begins this therapy and to monitor its effectiveness as therapy continues.
Rationale 3: The medication should be taken at the same time every day, not at variable meal times. It should be taken in the morning to decrease insomnia.
Rationale 4: Dietary fiber may bind to and decrease the absorption of levothyroxine.
Rationale 5: Calcium and iron supplements should be taken at least 4 hours after taking levothyroxine to prevent interference with drug absorption.
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