A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.

Choice A Reason: Telling the client to expect a decrease in urine output is not an appropriate intervention for a client who has urolithiasis, as it may indicate dehydration, obstruction, or infection.

Choice B Reason: Encouraging the client to drink 3 L of fluids per day is an appropriate intervention for a client who has urolithiasis, as it helps to flush out stones, prevent new stone formation, and reduce urinary concentration.

Choice C Reason: Providing the client with a high protein diet is not an appropriate intervention for a client who has urolithiasis, as it may increase uric acid and calcium excretion and promote stone formation.

Choice D Reason: Maintaining the client on bed rest is not an appropriate intervention for a client who has urolithiasis, as it may decrease renal perfusion and increase urinary stasis.

Choice A Reason: Hypertension is not a common finding in a client with low calcium level, but it may indicate other conditions such as renal disease or pheochromocytoma.

Choice B Reason: Diaphoresis is not a common finding in a client with low calcium level, but it may indicate other conditions such as fever, anxiety, or hyperthyroidism.

Choice C Reason: Increased thirst is not a common finding in a client with low calcium level, but it may indicate other conditions such as diabetes mellitus, dehydration, or psychogenic polydipsia.

Choice D Reason: Muscle tetany is a common finding in a client with low calcium level, as it indicates that the nerves and muscles are overexcited and contract involuntarily. It may manifest as spasms, cramps, twitching, or tingling sensations.