Problem: After the patient's initial lab draw, the results reveal that she has an extremely elevated TSH level. Which of the following changes should be made to the patient's care plan? After the patient's initial lab draw, the results reveal that she has an extremely elevated TSH level. Which of the following changes should be made to the patient's care plan? Her levothyroxine dose should be increased. Her levothyroxine dose should be decreased. Her levothyroxine dose should stay the same. Her levothyroxine dose should be held until lab values are with in normal limits.