A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse that education was effective?
Explanation & Rationale
Rationale: A. Administer levothyroxine at bed time: Levothyroxine should not be taken at bedtime because absorption is best on an empty stomach in the morning before breakfast. Taking it at night could interfere with absorption due to food intake throughout the day. B. Take medication on an empty stomach: Levothyroxine is best absorbed when taken in the morning, at least 30–60 minutes before eating or drinking anything other than water. This ensures maximum therapeutic effectiveness and reduces the risk of fluctuating thyroid hormone levels. C. Consume foods that are high in iodine: While iodine is important for thyroid function, excess iodine intake can worsen thyroid imbalances. Clients on levothyroxine do not need to increase dietary iodine, as the medication provides the necessary thyroid hormone replacement. D. Avoid the use of iron supplements: Iron and calcium supplements can interfere with levothyroxine absorption, but they do not need to be completely avoided. Instead, they should be taken at least 4 hours apart from levothyroxine rather than eliminated entirely from the client’s regimen.