Clinical manifestations of thyrotoxicosis

NursingPharmacologyMedium

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A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?

Drowsiness

Bradycardia

Dry skin

Heat intolerance

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Step by Step Written Solution

1
Step 1

In this problem, we are looking for the clinical manifestations of thyrotoxicosis caused by an overdose of levothyroxine.

Thyrotoxicosis Manifestations

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Step 2

Levothyroxine is a synthetic version of the thyroid hormone T four. When a patient takes too much, it leads to a state of hyperthyroidism, also known as thyrotoxicosis.

$$Levothyroxine \uparrow \rightarrow \text{Hyperthyroidism}$$
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Step 3

Thyroid hormones regulate the body's metabolic rate. Excess levels effectively put the body's systems into overdrive.


Key Concept: Metabolic Overdrive

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Step 4

Let's evaluate the options by comparing symptoms of hyperthyroidism versus hypothyroidism.

ConditionMetabolic StateExpected Findings
HyperthyroidismIncreasedTachycardia, Heat Intolerance, Insomnia
HypothyroidismDecreasedBradycardia, Cold Intolerance, Drowsiness

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About This Question

Subject
Nursing
Topic
Pharmacology
Difficulty
Medium
Question Type
Multiple Choice

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