The nurse is caring for a client diagnosed with hyperthyroidism. Which signs and symptoms indicate hyperthyroidism? (Select all that apply.)

Choice A reason: Can bring about long-term changes in lifestyle is true because persistent pain, also known as chronic pain, is pain that lasts for more than three months or beyond the expected healing time. Persistent pain can affect the physical, psychological, social, and emotional aspects of a person's life, and may require adjustments in daily activities, work, hobbies, relationships, and self-care.

Choice B reason: Is generally gone within 4 months is false because persistent pain does not have a clear end point and may persist for years or even a lifetime. Persistent pain is different from acute pain, which is pain that is sudden, sharp, and usually related to an injury or illness. Acute pain typically lasts for a short time and resolves when the underlying cause is treated.

Choice C reason: Is usually described as a burning pain is false because persistent pain can have various descriptions, depending on the cause, location, and intensity of the pain. Some common words that people use to describe persistent pain are aching, throbbing, stabbing, shooting, tingling, or numbness.

Choice D reason: Leads to significantly altered vital signs is false because persistent pain does not usually cause noticeable changes in vital signs, such as blood pressure, heart rate, respiratory rate, or temperature. This is because the body adapts to persistent pain over time and does not react as strongly as it does to acute pain. However, this does not mean that persistent pain is less severe or less important than acute pain.

Choice A reason: Call 9-1-1 is the best action to take initially, as the client may be having another TIA or a stroke. The nurse should act fast and seek emergency medical attention for the client, as timely intervention can prevent permanent brain damage and disability.

Choice B reason: Determine if the client has a history of migraine headaches is not the best action to take initially, as it may delay the diagnosis and treatment of a possible TIA or stroke. Migraine headaches can cause similar symptoms to a TIA or stroke, but they are not the same condition and require different management.

Choice C reason: Give the client a dose of acetaminophen is not the best action to take initially, as it may mask the symptoms of a possible TIA or stroke and interfere with the blood clotting process. Acetaminophen is a pain reliever and a fever reducer, but it is not effective for treating a TIA or stroke.

Choice D reason: Assure the client the symptoms will resolve within 24 hours is not the best action to take initially, as it may give the client a false sense of security and prevent them from seeking urgent medical care. A TIA or stroke is a medical emergency that requires immediate attention, as the symptoms may worsen or become permanent.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the best action to take initially.