A nurse is caring for a client who has schizophrenia.

Exhibits

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

A. Heat intolerance is incorrect. Myxedema, which is a severe form of hypothyroidism, is typically associated with cold intolerance rather than heat intolerance. Clients with hypothyroidism often feel cold even in warm environments.
B. Diarrhea is incorrect. Clients with myxedema are more likely to experience constipation due to the slowed metabolic processes associated with hypothyroidism.
C. Tachycardia is incorrect. Myxedema is associated with bradycardia (slow heart rate), not tachycardia (fast heart rate). Hypothyroidism can slow down the body's overall processes, including heart rate.
D. Facial edema is correct. Facial edema (or puffiness) is a common sign of myxedema, which results from the accumulation of mucopolysaccharides in the tissues due to severe hypothyroidism. This can cause swelling, especially in the face, around the eyes, and the hands.

A. Provide a low-carbohydrate diet is not appropriate for a client at risk for Addisonian crisis. In Addison's disease, the body has trouble producing cortisol, which affects metabolism, including glucose regulation. A balanced diet that includes adequate carbohydrates is typically recommended to help manage blood glucose levels.
B. Administer oral diuretics is not appropriate for a client with Addison's disease. Diuretics can worsen dehydration and electrolyte imbalances, both of which are concerning in Addisonian crisis, where the body’s ability to manage fluid and electrolytes is already compromised.
C. Restrict fluid intake is not appropriate in this scenario. In Addisonian crisis, clients are at risk for dehydration due to the body’s inability to retain sodium and water. Fluid intake should generally be monitored and maintained to prevent dehydration, not restricted.
D. Weigh the client daily is the correct action. Monitoring daily weight is important in clients with Addison's disease, especially when at risk for Addisonian crisis, as it helps assess fluid balance and identify early signs of dehydration or fluid retention. Frequent weight monitoring can alert the nurse to changes that may require interventions such as adjusting fluid intake or administering medications.