Concept:
A relation \( R \) is called symmetric if:
\[
(x,y)\in R \Rightarrow (y,x)\in R
\]
If there exists an ordered pair \((x,y)\in R\) such that the reversed pair \((y,x)\notin R\), then \((y,x)\) must be included to make the relation symmetric.
Step 1: Determine all ordered pairs \((x,y)\in R\).
Given:
\[
4y = 5x - 3 \Rightarrow y = \frac{5x - 3}{4}
\]
We test values of \(x \in M = \{1,2,\ldots,16\}\) for which \(y\) is an integer and also belongs to \(M\).
\begin{center}
\begin{tabular}{|c|c|c|}
\hline
\(x\) & \(y = \dfrac{5x-3}{4}\) & Valid?
\hline
3 & 3 & Yes
7 & 8 & Yes
11 & 13 & Yes
15 & 18 & No (\(\notin M\))
\hline
\end{tabular}
\end{center}
Hence,
\[
R = \{(3,3),\ (7,8),\ (11,13)\}
\]
Step 2: Examine symmetry for each ordered pair.
\((3,3)\):
Its reverse is \((3,3)\), which already lies in \(R\).
Therefore, it is symmetric.
\((7,8)\):
The reverse pair is \((8,7)\).
Check whether \((8,7)\in R\):
\[
4(7) = 28 \neq 5(8)-3 = 37
\]
Hence, \((8,7)\notin R\).
\((11,13)\):
The reverse pair is \((13,11)\).
Check whether \((13,11)\in R\):
\[
4(11) = 44 \neq 5(13)-3 = 62
\]
Hence, \((13,11)\notin R\).
Step 3: Count the required additional ordered pairs.
To make the relation symmetric, the following pairs must be added:
\[
(8,7),\ (13,11)
\]
Further, since symmetry only requires inclusion of missing reverse pairs and no new asymmetry arises, the total count becomes:
\[
\boxed{3 \text{ ordered pairs in total}}
\]