Practice Question
A patient who has initiated levothyroxine (Synthroid) therapy for hypothyroidism is asked to return for blood work to monitor for effectiveness. When should the patient return for a repeat thyroid-stimulating hormone (TSH) level?
Answer Choices:
Correct Answer:
6-8 weeks
Rationale:
⏳ After initiating or adjusting levothyroxine therapy, it takes about 6-8 weeks for the body to reach a new steady state of thyroid hormone levels.
⏳ Measuring thyroid-stimulating hormone (TSH) too early (e.g., 1-4 weeks) may give inaccurate results because TSH changes lag behind serum hormone levels.
⏳ The 6-8 week interval allows for proper assessment of treatment effectiveness and dosage adjustments if needed.
⏳ Monitoring TSH at this time helps ensure optimal hypothyroidism management and prevents symptoms of under- or overtreatment.
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This question is from Examplify 2 which contains 135 questions.
More Questions from This Exam
A patient is taking cefadroxil (Duricef) and comes to the office complaining of loose stools for the past 3 days. The patient reports having 6-8 watery stools daily. The NP assesses the patient: vital signs are normal and there are no signs/symptoms of dehydration. What is the next best intervention by the NP?
Answer Choices:
A. Discontinue the cefadroxil
B. Recommend the patient take a probiotic to replenish the gut flora
C. Order a test for clostridium difficile associated diarrhea
D. Reassure the patient that loose stools are common with antibiotics
A new mother reports to the NP that her 6-month-old infant has a cold and a fever of 99.8F. The infant is not irritable and is feeding well without problems. The need to know whether it is okay for him to be immunized at this time. Which of the following statements is the BEST response by the NP?
Answer Choices:
A. Because immunization is so important, it should be given to the infant as scheduled
B. An infant with a cold can be immunized at any time
C. An infant with a cold can be immunized as long as the infant's temperature is < 100.4F
D. The infant should not be immunized until he is afebrile
Long-acting beta agonists (LABAs) must display a boxed warning from the U.S. Food and Drug Administration due to the:
Answer Choices:
A. Increased incidence of cardiac events when LABAs are used
B. Risk for life-threatening alterations in electrolytes
C. Risk of life-threatening dermatological reactions
D. Increased risk of asthma-related deaths when LABAs are used
Which of the following medications is contraindicated in a patient with medullary thyroid cancer?
Answer Choices:
A. Sulfonylureas
B. Sodium-glucose co-transporter 2 (SGLT2) inhibitors
C. Thiazolidinediones (TZDs)
D. Glucagon-like peptide-1 (GLP-1) agonists
The nurse practitioner (NP) has diagnosed a patient with gonorrhea. The NP knows that first-line treatment for gonorrhea should be which of the following?
Answer Choices:
A. Doxycycline
B. Azithromycin (Zithromax)
C. Amoxicillin
D. Rocephin (Ceftriaxone)
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pharmacology
- Answer Choices: 4