NCLEX-RN

Category - Pharmacological

A client with hypothyroidism is ordered levothyroxine (Synthroid). The nurse should instruct the client to do which of the following?
  1. Take the medication at the same time each day, preferably before sleeping.
  2. Take the medication at the same time each day, preferably in the morning.
  3. Call the physician for the occurrence of bradycardia, cold intolerance and hypothermia.
  4. Increase the intake of dairy products.
Explanation
Answer: B - The nurse should instruct the client to take the medication at the same time each day, preferably in the morning before breakfast. This is to allow the body to absorb the drug without the interference of other medications and foods. Bradycardia, cold intolerance, and hypothermia are the side effects of antithyroid medications. Consumption of foods rich in calcium, such as milk and cheese, can disrupt the action of thyroid medications; therefore, these foods should be eaten hours after taking the thyroid medications, in moderate amounts.
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