Author Question: The nurse is providing patient teaching regarding the administration of levothyroxine (Synthroid). ... (Read 38 times)

CharlieWard · **on:** Jul 23, 2018

The nurse is providing patient teaching regarding the administration of levothyroxine (Synthroid). What is the nurse's priority teaching point?

A) Take the medication after breakfast.
B) Take the medication with a full glass of water.
C) Remain in the upright position for 30 minutes after administering.
D) Take the medication before going to bed at night.

Question 2

The nurse is writing a plan of care for a patient receiving immune suppressants for leukemia. What would be an appropriate nursing diagnosis for this patient?

A) Anxiety related to diagnosis and drug therapy
B) Acute pain related to central nervous system (CNS), gastrointestinal (GI), and flu-like effects
C) Risk for infection related to immune stimulation
D) Imbalanced nutrition: More than body requirements

chreslie · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
The patient should be instructed to take the medication with a full glass of water to help prevent difficulty swallowing and esophageal atresia. The medication should be taken on an empty stomach before breakfast. There is no need to maintain an upright position. The medication should be taken as a single daily dose before breakfast each day to ensure consistent therapeutic levels.

Answer to Question 2

B
Feedback:
Nursing diagnoses related to drug therapy might include: Acute pain related to CNS, GI, and flu-like effects. Anxiety related to diagnosis and drug therapy is a nursing diagnosis for a patient on an immune stimulant. There is no risk for infection related to immune stimulation unless an adverse effect occurs. Imbalanced nutrition would be less than body requirements due to flu-like symptoms resulting in diminished appetite.