A 52-year-old male patient with a family history of cardiac disease reports to the clinic with a complaint of intermittent chest pain. A review of his medical record reveals that he was started on 112.5 mcg of synthetic T4 (Synthroid) three weeks ago for a TSH level of 7.2. While he reports improved energy and mental clarity since starting on Synthroid he is concerned about the chest pain. You take his vital signs and find he has a BP of 142/86 and a regular pulse at 128. Which of the following represents your best treatment plan for this patient?

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Question 1 of 5

A 52-year-old male patient with a family history of cardiac disease reports to the clinic with a complaint of intermittent chest pain. A review of his medical record reveals that he was started on 112.5 mcg of synthetic T4 (Synthroid) three weeks ago for a TSH level of 7.2. While he reports improved energy and mental clarity since starting on Synthroid he is concerned about the chest pain. You take his vital signs and find he has a BP of 142/86 and a regular pulse at 128. Which of the following represents your best treatment plan for this patient?

Correct Answer: B

Rationale: Excess thyroid hormone can cause tachycardia and chest pain (pulse 128); decreasing Synthroid (B) and ordering TSH/EKG assesses thyroid levels and cardiac status. No change (A) risks worsening symptoms, stress test (C) alone misses thyroid adjustment, and discontinuation (D) is premature for lifelong therapy.

Question 2 of 5

When a patient has prescriptions for an inhaled beta 2 agonist and an inhaled glucocorticoid, a nurse should advise the patient

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Rather than being used for immediate effects, which of the following anti-inflammatory medications works gradually to promote decreased frequency and severity of exacerbations and acute asthma attacks?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Which of the following medications is administered by inhalation to liquefy nasal and bronchial secretions and facilitate coughing?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following medications is given concurrently with coronary angioplasty or intervention?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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