The nurse is caring for an older-adult client who is diagnosed with hypothyroidism and has a prescription for levothyroxine. Which of the following assessments is most important for the nurse to make during initiation of thyroid replacement?
A)Apical pulse rate
B)Nutritional intake
C)Intake and output
D)Orientation and alertness

Question

Quizplus · Accepted Answer

In older clients, initiation of levothyroxine therapy can increase myocardial oxygen demand and cause angina or dysrhythmias. The medication is also 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.

The Nurse Is Caring for an Older-Adult Client Who Is