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)
Question 2
A 62-year-old female complains of fatigue and lack of energy. Constipation has increased and the patient has gained ten pounds in the past 3 months.
Depression is denied although the patient reports a lack of interest in usual hobbies. Vital signs are within normal limits and the patient's skin is dry and cool. Which of the following must be included in the differential?
A. Hyperthyroidism
B. Hypothyroidism
C. Hyperparathyroidism
D. Grave's disease
The patient and his family meet with the nurse to discuss progress on the patient care plan.
Patient teaching: nail assessment
Health care - patient-centered
Dred Scott and his wife and children are featured on the cover of Frank Leslie’s Illustrated Newspap
Role-Playing a Situation in Which a Patient Is from Another Culture
Algorithm for assessing a patient at risk for self-directed violence.