A 40-year-old female client has a family history of thyroid problems and is being seen by the primary health care provider for unintentional weight loss, irritability, and chest discomfort. Her probable diagnosis is hyperthyroidism, which the primary health care provider plans to confirm by laboratory testing. What additional physical assessment findings would the nurse expect to be present in this client? Select all that apply.
Hypotension
Diaphoresis
Heat intolerance
Tachycardia
Insomnia
Decreased deep tendon reflexes
Correct Answer : B,C,D,E
Choice A reason: Hypotension is not typically associated with hyperthyroidism. In fact, hyperthyroidism usually leads to an increase in metabolic rate, which can cause an increase in blood pressure rather than a decrease. Therefore, hypotension is not a consistent finding in patients with hyperthyroidism.
Choice B reason: Diaphoresis, or excessive sweating, is a common symptom of hyperthyroidism. The increased metabolic rate associated with hyperthyroidism causes the body to generate more heat, leading to excessive sweating as the body attempts to cool down. This symptom is frequently observed in patients with this condition.
Choice C reason: Heat intolerance is a hallmark symptom of hyperthyroidism. Due to the increased metabolic activity, patients with hyperthyroidism often feel excessively warm and have difficulty tolerating heat. They may seek cooler environments and prefer lighter clothing, even in colder weather, to manage their discomfort.
Choice D reason: Tachycardia, or an abnormally rapid heart rate, is a common finding in hyperthyroidism. The excess thyroid hormones stimulate the heart, leading to an increased heart rate and palpitations. This symptom is a significant indicator of hyperthyroidism and is often one of the first signs noticed by patients and healthcare providers.
Choice E reason: Insomnia is frequently seen in patients with hyperthyroidism. The increased metabolic rate and heightened nervous system activity can lead to difficulty sleeping and restlessness. Patients may report trouble falling asleep, staying asleep, or feeling rested after sleep, contributing to overall fatigue and irritability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["133"]
Explanation
Step 1: First, we need to determine how many mL per hour the IV is administering. We know that 100 mL is administered over 45 minutes.
Step 2: Convert 45 minutes to hours. 45 minutes ÷ 60 minutes = 0.75 hours
Step 3: Calculate the flow rate in mL per hour. 100 mL ÷ 0.75 hours
Step 4: Perform the division. 100 ÷ 0.75 = 133.33
Step 5: Round to the nearest whole number. 133.33 rounds to 133.
Answer: The flow rate is 133 mL per hour.
Correct Answer is D
Explanation
Choice A reason: Cyanosis and hypertension are not typically associated with severe anemia. While anemia can lead to tissue hypoxia, cyanosis is more related to respiratory or cardiovascular problems, and hypertension is not a common consequence of anemia.
Choice B reason: Dysrhythmias and expiratory wheezing are not directly related to severe anemia. Dysrhythmias can occur in severe cases due to the heart's increased workload, but expiratory wheezing is generally associated with respiratory conditions like asthma or chronic obstructive pulmonary disease (COPD).
Choice C reason: Pulmonary edema and fibrosis are not linked to severe anemia. These conditions are related to heart failure, lung injury, or chronic lung diseases, rather than anemia.
Choice D reason: Dyspnea and increased heart rate are expected findings in a severely anemic patient. Dyspnea, or difficulty breathing, occurs because the body is not getting enough oxygen due to the reduced number of red blood cells. The heart rate increases as a compensatory mechanism to deliver more oxygenated blood to the tissues.
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