PN Adult Medical Surgical Practice Exam

Which statement by a client taking levothyroxine indicates understanding of the teaching?

1. "I will need to take the medication until my thyroid function returns to normal."

2. "The medication should be taken before I eat breakfast every morning."

3. "The medication might lower my blood sugar."

4. "I will take the medication with an antacid if it gives me heartburn."

The correct answer is: "The medication should be taken before I eat breakfast every morning."

Taking levothyroxine before breakfast each morning is critical for optimal absorption of the medication. Levothyroxine is best absorbed on an empty stomach, and food can significantly interfere with its effectiveness. By taking the medication first thing in the morning, a client ensures that the medication is fully absorbed before any food intake, leading to more stable thyroid hormone levels. The other statements do not accurately reflect the necessary understanding of levothyroxine therapy. It is essential that clients recognize that levothyroxine is a lifelong treatment for hypothyroidism rather than expecting a return to normal thyroid function. Additionally, while levothyroxine itself does not directly lower blood sugar, the medication is not typically associated with blood sugar levels for individuals without diabetes. Lastly, taking levothyroxine with antacids is discouraged, as antacids can bind to the medication, reducing its absorption and therefore its effectiveness in treating hypothyroidism.