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You are working in a community outpatient clinic where you perform the intake assessment on R.M., a 38-year-old woman.

You are working in a community outpatient clinic where you perform the intake assessment on R.M., a 38-year-old woman. She is being worked up for endocrine disease based upon her symptoms- fatigue, weight gain of 15 pounds over 2 months, frequent muscle cramps and constipation. R.M is diagnosed with myxedema and immediately started on levothyroxine sodium.

How does levothyroxine sodium treat hypothyroidism?

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What baseline assessment and data is needed prior to initiating treatment with levothyroxine sodium?

What are the nursing interventions for this patient?

What should be included in patient teaching for R.M? Explain your answer.

R.M tells you “I forgot to tell you that I take metformin daily to help my sugars. I was just given that last week.” What is metformin and how does it work?

What additional teaching is necessary? What concerns do you have?

Expert Answer

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Hypothyroidism is a condition in which the thyroid gland doesn’t produce enough thyroid hormone.Levothyroxine is a synthetic form of thyroxine (T4), an endogenous hormone secreted by the thyroid gland, which is converted to its active metabolite, L-t…

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