Which nursing assessment of a 69-year-old patient is most important to make during initiation of thyroid replacement with levothyroxine (Synthroid)?

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In older patients,initiation of levothyroxine therapy can increase myocardial oxygen demand and cause angina or dysrhythmias.The medication also is expected to improve mental status and fluid balance and will increase metabolic rate and nutritional needs,but these changes will not result in potentially life-threatening complications.

Which Nursing Assessment of a 69-Year-Old Patient Is Most Important