In which instance would the nurse hold the dose of levothyroxine (Synthroid)?
1. The client complains of palpitations.
2. The client's blood pressure 118/78 mmHg.
3. The client's respiratory rate is 10.
4. The client is fatigued.
Correct Answer: 1
Rationale 1: An adverse effect of levothyroxine is palpitations, which should be reported before providing the scheduled dose.
Rationale 2: The medication can be given with this blood pressure.
Rationale 3: The medication can be given with this respiratory rate.
Rationale 4: The medication can be given if the client is fatigued.
Global Rationale: An adverse effect of levothyroxine is palpitations, which should be reported before providing the scheduled dose. The listed blood pressure and respiratory rate and the report of fatigue are not reasons to hold the medication.
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