The client on replacement therapy with levothyroxine (Synthroid) reports feeling nervous and is…

The client on replacement therapy with levothyroxine
(Synthroid) reports feeling nervous and is having occasional palpitations and
tremors. The nurse recognizes that these symptoms may indicate what effect is
occurring?

1. The client is still experiencing hypothyroidism and the
dose may need to be increased. 2. The client now has normal thyroid function
and the levothyroxine (Synthroid) is no longer needed. 3. The client has
developed diabetes and needs further evaluation. 4. The client is experiencing
symptoms of hyperthyroidism and the drug dosage may need to be decreased.