A patient with hypothyroidism is prescribed levothyroxine sodium (Synthroid). What dietary adjustments should the nurse instruct the patient to make?
Select all that apply.
1. Avoid eating walnuts.
2. Avoid all grapefruit or citrus fruits.
3. Restrict the intake of foods high in fiber.
4. Reduce the intake of green leafy vegetables.
5. Take the medication 30 minutes before eating breakfast in the morning.
Correct Answer: 1, 3, 5
The patient should be instructed to avoid excessive intake of foods that are known to inhibit thyroid hormone utilization, such as walnuts and high-fiber foods. The patient should take the thyroid preparation in the morning 30 minutes before eating to reduce the possibility of insomnia. There is no reason for the patient to avoid grapefruit and other citrus fruits or limit the intake of green leafy vegetables.
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