Pharmacological and Parenteral TherapiesQuestion 616 of 2368

An older adult with heart disease takes levothyroxine and reports new chest pain and palpitations before the morning dose. What should the nurse do?

  1. Give the dose and recheck the pulse in one hour
  2. Give the dose with a snack
  3. Give the dose and encourage rest
  4. Withhold the dose and contact the health care provider
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Correct answer: Withhold the dose and contact the health care provider

Overtreatment can cause angina or arrhythmias. If cardiac symptoms develop or worsen, the nurse withholds the medication and contacts the provider.

Source: Nursing Pharmacology, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Endocrine System: Thyroid Replacement Medication. Licensed under CC BY 4.0.

Practice the topic "Pharmacological and Parenteral Therapies"

Questions last reviewed: 18 October 2026