An overweight African-American female client with a diagnosis of hypothyroidism asks the nurse why she has begun to gain body weight. Which is the best explanation the Medical Surgical nurse can provide?
"Your metabolism is slowing down."
"You should be exercising for longer periods of time."
"You could be making healthier food choices."
"You are retaining fluid."
The Correct Answer is A
(a) "Your metabolism is slowing down.":
Hypothyroidism leads to a decrease in the production of thyroid hormones, which are critical in regulating metabolism. With lower levels of these hormones, the body's metabolic rate decreases, resulting in reduced calorie burning and subsequent weight gain. This explanation directly addresses the underlying cause of weight gain in hypothyroidism.
(b) "You should be exercising for longer periods of time.":
While exercise is beneficial for overall health and can help manage weight, it does not directly address the reason for weight gain in hypothyroidism. The primary issue is the slowed metabolism due to thyroid hormone deficiency, not a lack of exercise.
(c) "You could be making healthier food choices.":
Although diet plays a role in weight management, this response does not explain the root cause of weight gain in hypothyroidism. The condition itself slows metabolism, leading to weight gain even if dietary habits remain unchanged.
(d) "You are retaining fluid.":
Fluid retention can occur in hypothyroidism but is not the primary reason for weight gain in this condition. The main cause is a decreased metabolic rate, which leads to the accumulation of body fat. Fluid retention might contribute to some weight gain, but it is not the best explanation in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Exophthalmos:
Exophthalmos, or protruding eyeballs, is typically associated with hyperthyroidism (Graves' disease) rather than hypothyroidism. It results from the accumulation of fluid and swelling behind the eyeballs.
(b) Palpitations:
Palpitations, or rapid heartbeat, are more commonly associated with hyperthyroidism due to the increased metabolic rate and sympathetic nervous system stimulation. In hypothyroidism, bradycardia (slow heart rate) is more likely.
(c) Diaphoresis:
Diaphoresis, or excessive sweating, is not a typical finding in hypothyroidism. It is more commonly associated with conditions that cause autonomic dysfunction or hypermetabolic states.
(d) Weight gain:
Weight gain is a hallmark symptom of hypothyroidism. It occurs due to a slowing down of the metabolic rate, leading to reduced calorie expenditure and potential fluid retention.
Correct Answer is B
Explanation
(a) Soles of the feet:
The soles of the feet are not considered the most reliable indicator of central cyanosis because peripheral areas can be affected by various factors, including temperature and circulation. Changes in color here might not accurately reflect central oxygenation status.
(b) Oral mucosa:
The oral mucosa is the most reliable indicator of central cyanosis because it reflects the oxygenation status of the central circulatory system. Cyanosis in this area indicates a significant drop in arterial oxygen saturation and is a more direct indicator of hypoxemia compared to peripheral sites.
(c) Ear lobes:
Ear lobes, like the soles of the feet, can be influenced by peripheral circulation and environmental factors. While cyanosis can be observed here, it is not as reliable as central sites like the oral mucosa for assessing systemic oxygenation.
(d) Conjunctivae:
The conjunctivae can show signs of cyanosis, but the oral mucosa is still a more sensitive and reliable indicator for central cyanosis. The oral mucosa provides a clear and consistent site to assess oxygenation in emergency situations.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.