Registered Nurse (RN) Endocrine Licensure Exam

Which statement by a patient on Synthroid indicates a need for re-education?

1. "I will take this medication at bedtime with a snack."

2. "I will never stop taking the medication abruptly."

3. "If I have palpitations or chest pain, I will notify the doctor."

4. "I will not take this medication at the same time I take my Carafate."

The correct answer is: "I will take this medication at bedtime with a snack."

Taking Synthroid, a medication commonly used to treat hypothyroidism, requires specific instructions to ensure its effectiveness. The statement indicating a need for re-education is the one about taking the medication at bedtime with a snack. This is not recommended practice because Synthroid should ideally be taken on an empty stomach to enhance its absorption. The best practice is to take it at least 30 to 60 minutes before breakfast and other medications, as food and certain drugs can interfere with the drug's absorption. The other statements reflect appropriate understanding and management of Synthroid. Not stopping the medication abruptly is crucial since it can lead to a return of hypothyroid symptoms. Notifying a doctor about palpitations or chest pain is essential, as these could signify an adverse reaction to the medication, particularly if there's an underlying condition or dosage issue. Lastly, understanding that Synthroid should not be taken at the same time as Carafate is important, as Carafate can bind to the thyroid hormone in the gastrointestinal tract, reducing its effectiveness. Therefore, a thorough understanding of how to take Synthroid is critical, and the statement about taking it at bedtime with a snack highlights a gap in this knowledge.