A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
Lethargy
Photophobia
Weight loss
Exophthalmos
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Infusing hypotonic fluids such as 0.45% sodium chloride can exacerbate hyponatremia in a client with SIADH by further diluting serum sodium levels.
B. Desmopressin acetate is a synthetic form of ADH and would exacerbate the symptoms of SIADH by increasing water reabsorption and further diluting serum sodium levels.
C. Increasing dietary sodium intake would not be appropriate for a client with SIADH, as it would contribute to further fluid retention and exacerbate hyponatremia.
D. Fluid restriction is a key component of managing SIADH to prevent further water retention and dilutional hyponatremia. Restricting fluid intake helps to normalize serum sodium levels by allowing excess water to be excreted.
Correct Answer is B
Explanation
A. Aspirin administration is not typically indicated for hyperthermia associated with hyperthyroidism as it may displace thyroid hormone from binding proteins.
B. A calm environment can help prevent exacerbation of symptoms and reduce the risk of a thyroid crisis in hyperthyroid clients.
C. There is no indication to keep the client NPO solely based on hyperthyroidism.
D. Hypocalcemia is not a primary concern in hyperthyroidism. Monitoring for signs of hyperthyroid crisis is more pertinent.
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