The clinic nurse is teaching a client about levothyroxine, which the health care provider has prescribed for newly diagnosed hypothyroidism. Which statement made by the client indicates that further teaching is needed?

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Several medications impair the absorption of levothyroxine (Synthroid). Common offenders are antacids, calcium, and iron preparations. Some of these could be present in several over-the-counter multivitamin and mineral tablets. Therefore, clients with hypothyroidism should be instructed to take levothyroxine on an empty stomach, preferably in the morning, separately from other medications. The most common reason for inadequately treated hypothyroidism is deficient knowledge related to the medication regimen (eg, not taking daily, taking with other medications). (Option A) Levothyroxine dosing is adjusted based on blood tests for thyroid-stimulating hormone or other thyroid hormone levels. The dose is not the same for each client. (Option B) Thyroid supplementation with levothyroxine usually requires lifelong therapy. (Option C) Levothyroxine has a long half-life, so dosing is once daily. Educational objective: Levothyroxine should be taken on an empty stomach, preferably in the morning, separately from other medications.

The Clinic Nurse Is Teaching a Client About Levothyroxine, Which