A client has hypothyroidism and has been started on levothyroxine (Synthroid). Which assessment finding leads the nurse to conclude that the treatment is effective?
a. Thirst is recognized and the client drinks fluids appropriately.
b. Weight has been the same for 3 weeks.
c. Total white blood cell count is 6000 cells/mm3.
d. Heart rate is 70 beats/min and regular.
D
Hypothyroidism decreases body functioning and can result in effects such as bradycardia, confu-sion, and constipation. If a client's heart rate is bradycardic while on thyroid hormone replace-ment, this is an indicator that the replacement may not be adequate. Conversely, a heart rate above 100 beats/min may indicate that the client is receiving too much of the thyroid hormone. The other assessment findings do not give any indication as to whether treatment is successful.
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