A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

Lethargy

Photophobia

Weight loss

Exophthalmos

Answer and Explanation

The Correct Answer is A

A.   Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B.   Photophobia is not typically associated with hypothyroidism.
C.   Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D.   Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.

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Correct Answer is B

Explanation

A. Respiratory Acidosis, both compensated and uncompensated, is characterized by an elevated PaCO2, which is not present in this case.
B. The elevated pH (7.5) and HCO3 (34 mmol/L) indicate metabolic alkalosis. The elevated pH and the slightly elevated PaCO2 (40 mm Hg) suggest the partially compensated state, which is the respiratory compensation attempting to correct the alkalosis.
C. The fact that the PaCO2 is not low rules out respiratory alkalosis.
D. The arterial blood gas values indicate a high pH (7.5), a normal PaCO2 (40 mm Hg), and an elevated HCO3 (34 mmol/L), which are indicative of metabolic alkalosis. However, the elevated pH and the slightly elevated PaCO2 (40 mm Hg) suggest a partially compensated state.

A. Constipation B. Frequent mood changes C. Weight gain of 4.5 kg (10 lb) in 3 weeks D. Sensitivity to cold

Correct Answer is B

Explanation

A. Constipation is more commonly associated with hypothyroidism, not hyperthyroidism.
B. Hyperthyroidism can lead to emotional lability, anxiety, and irritability due to increased metabolic rate.
C. Weight loss is a common manifestation of hyperthyroidism, not weight gain.
D. Sensitivity to cold is more commonly associated with hypothyroidism, not hyperthyroidism.

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A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

Correct Answer is B

Explanation

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