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Six Months Ago an Elderly Patient Was Diagnosed with Subclinical

Question 4

Multiple Choice

Six months ago an elderly patient was diagnosed with subclinical hypothyroidism.Today the patient returns and has a TSH of 11.0 and complains of fatigue.He has taken Synthroid 25 mcg daily as prescribed.What is the best course of action for the nurse practitioner?


A) Assess further for a cause of fatigue
B) Double the dose of Synthroid
C) Discontinue the Synthroid
D) Prescribe Liotrix (T3 & T4 combination)

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