This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient has been taking levothyroxine for several years and reports that for the past 2 weeks, the ... (Read 88 times)

londonang

  • Hero Member
  • *****
  • Posts: 540
on: Jul 23, 2018
A patient has been taking levothyroxine for several years and reports that for the past 2 weeks, the drug doesn't seem to work as well as before. What will the nurse do?
 
  a. Ask the patient when the prescription was last refilled.
  b. Expect the patient to have an elevated temperature and tachycardia.
  c. Suggest that the patient begin taking calcium supplements.
  d. Tell the patient to try taking the medication with food.

Question 2

A nurse is teaching a patient who has been diagnosed with hypothyroidism about levothyroxine (Synthroid). Which statement by the patient indicates a need for further teaching?
 
  a. I should not take heartburn medication without consulting my provider.
  b. I should report insomnia, tremors, and an increased heart rate to my provider.
  c. If I take a multivitamin with iron, I should take it 4 hours after the Synthroid.
  d. If I take calcium supplements, I may need to decrease my dose of Synthroid.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

flannelavenger

  • Sr. Member
  • ****
  • Posts: 322
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Not all levothyroxine preparations have the same drug bioavailability; therefore, if a patient is experiencing differing effects, the pharmacist may have switched brands. Asking a patient about a recent refill may help to explain why the drug has different effects. An elevated temperature and tachycardia would be signs of toxicity, not of a decrease in effectiveness. Calcium supplements and food would only interfere with absorption and further reduce the drug's effectiveness.

Answer to Question 2

ANS: D
Patients taking calcium supplements should take these either 4 hours before or after taking levothyroxine, because they interfere with levothyroxine absorption. Many heartburn medications contain calcium, so patients should consult their provider before taking them. Insomnia, tremors, and tachycardia are signs of levothyroxine toxicity and should be reported. Iron also interferes with levothyroxine absorption, so dosing should be 4 hours apart.


londonang

  • Member
  • Posts: 540
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

Dominic

  • Member
  • Posts: 328
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Patient teaching: lung assessment Patient teaching: lung assessment
The photo shows an ultrasound image of a fetus of about 20 weeks’ gestational age. The photo shows an ultrasound image of a fetus of about 20 weeks’ gestational age.
The human eye, a product of 600 million years of evolution (Lamb, Collin, & Pugh, 2007). The human eye, a product of 600 million years of evolution (Lamb, Collin, & Pugh, 2007).
Sign and symptoms of a patient with heart failure Sign and symptoms of a patient with heart failure
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2)
Three years old drawing Three years old drawing
Video: Semidiscontinuous DNA replication

For a complete list of videos, visit our video library