Answer to Question 1
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.
Answer to Question 2
Correct Answer: 1,2,3,4
Rationale 1: The action of this drug may be delayed from several days to as long as 6-12 weeks.
Rationale 2: This drug may cause gastric upset, which is decreased if the drug is taken with food.
Rationale 3: This is a pregnancy class D drug.
Rationale 4: Rash is one of the most frequent adverse effects.
Rationale 5: This drug should not be taken while breastfeeding.
Instilling Eye Medication
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Measuring the client’s weight with a standard platform scale
Testing patellar reflex, client in a sitting position