A nurse is caring for a client prescribed Levothyroxine. Which nursing action is most appropriate regarding administering on an empty stomach in the morning and monitoring for signs of hyperthyroidism?

• 1 Administer iron dextran through a Y-site connection with potassium chloride, then flush the line with normal saline and observe the patient for 30-60 minutes.
• 2 Administer the iron dextran by rapid IV injection over 30 seconds, then flush with saline, and observe for 30-60 minutes for any signs of anaphylaxis.
• 3 Administer a small test dose first and monitor for 30-60 minutes with anaphylaxis emergency supplies (epinephrine, diphenhydramine, O2) at bedside ✓ Correct answer
• 4 Administer the full iron dextran dose by slow IV infusion over 1-2 hours, monitoring for adverse reactions, and treating promptly if needed.

For study reference only. Always follow current clinical guidelines and your institution’s protocols.