The client on replacement therapy with levothyroxine (Synthroid) reports feeling nervous and is having palpitations and tremors. The nurse recognizes that the reason for these symptoms is that the...

The client on replacement therapy with levothyroxine (Synthroid) reports feeling nervous and is having palpitations and tremors. The nurse recognizes that the reason for these symptoms is that the client:

1. Is experiencing normal adverse effects of therapy.

2. Now has normal thyroid function and the Synthroid is no longer needed.

3. Has developed a pituitary disorder and needs further evaluation.

4. Is experiencing a hyperthyroid state and the medication dosage needs adjustment.