A nurse educating a client and his family about levothyroxine for ...

[Arii_bell]

A nurse educating a client and his family about levothyroxine for the treatment of hypothyroidism should include which of the following information? Select all that apply.
 
  A) Therapy is lifelong.
  B) Drug is taken in the evening.
  C) Therapy needs to be evaluated every week initially.
  D) Weekly weights are needed with significant changes reported.
  E) Changing brands of the drug is okay.

Question 2

A client with a heart condition controlled on which of the following drugs must be monitored closely by the nurse for worsening atrial fibrillation if levothyroxine is initiated to treat hypothyroidism? Select all that apply.
 
  A) Lisinopril (Prinivil)
  B) Digoxin (Lanoxin)
  C) Diltiazem (Cardizem)
  D) Metoprolol (Toprol)
  E) Warfarin (Coumadin)

[deja]

Answer to Question 1

Ans: A, D
Feedback:
A nurse educating a client and his family about levothyroxine includes the following: therapy is lifelong, dose is taken in the morning before breakfast, therapy needs to be evaluated every 2 weeks initially, weekly weights are needed and significant changes are reported to the physician, and the client should not change brands of the drug without consulting the physician.

Answer to Question 2

Ans: B, D
Feedback:
A client with a heart condition controlled on digoxin (Lanoxin) and metoprolol (Toprol) must be monitored closely by the nurse for worsening atrial fibrillation if levothyroxine is initiated to treat hypothyroidism because levothyroxine can decrease the effectiveness of digoxin and beta blockers (metoprolol).

[Arii_bell]

Thanks

[deja]

Welcome