Question

The client with myxedema is being treated with synthetic thyroid medication. Which instruction should be given to the client taking thyroid medication? A. Take the medication with orange juice to increase medication's strength. B. For best absorption, take the medication prior to bedtime. C. Check your pulse rate prior to taking the medication. D. Have your triglycerides checked every six months while taking the medication.

Short answer

Answer: Check your pulse rate prior to taking the medication.

Step-by-step solution

Analyze Option A

Taking the medication with orange juice to increase medication's strength. This option is incorrect as the strength of a medication cannot be increased by taking it with a specific food or drink. In some cases, certain foods and beverages may interfere with the absorption of a medication, but this is not an instruction related to synthetic thyroid medication specifically.

Analyze Option B

For best absorption, take the medication prior to bedtime. It is generally recommended to take thyroid medication on an empty stomach, which means at least 30 minutes before breakfast or any other meal. Taking synthetic thyroid medication prior to bedtime could potentially cause sleep disturbance and might not align with the recommended intake on an empty stomach. Therefore, this option is not correct.

Analyze Option C

Check your pulse rate prior to taking the medication. Synthetic thyroid medication, if not properly dosed, can lead to an increased heart rate. It is essential for the clients to monitor their pulse rate regularly and report any significant changes to their healthcare provider. Hence, this option is a correct instruction for someone taking thyroid medication.

Analyze Option D

Have your triglycerides checked every six months while taking the medication. While it is advisable for someone with thyroid dysfunction to have regular check-ups with their healthcare provider to monitor their blood parameters, including cholesterol and triglycerides, there is no specific instruction to check triglycerides every six months. There may be other intervals of time to check specific parameters, depending on the individual's health status. Therefore, this option is not the most appropriate instruction in comparison to Option C.

Identify the correct option

According to the analysis of each option, the correct instruction for a client taking synthetic thyroid medication is: C. Check your pulse rate prior to taking the medication.