The nurse is caring for a patient diagnosed with hypothyroidism. When assessing this patient, what sign or symptom would the nurse expect?
Flushed skin
Palpitations
Bulging eyes
Fatigue
The Correct Answer is D
A. Flushed skin: Flushed or warm skin is more characteristic of hyperthyroidism, where there is an excess of thyroid hormones.
B. Palpitations: Palpitations or a rapid heartbeat are more characteristic of hyperthyroidism, where there is an excess of thyroid hormones.
C. Bulging eyes: Bulging or protruding eyes, known as exophthalmos, is a characteristic sign of Graves' disease, which is a specific type of hyperthyroidism.
D. Fatigue: This is correct. Fatigue is a common symptom of hypothyroidism, reflecting the overall slowing down of the body's processes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I have difficulty breathing when walking 30 feet":
Explanation: Difficulty breathing on exertion (dyspnea) is a common symptom of iron-deficiency anemia. This is because iron is a crucial component of hemoglobin, which carries oxygen to body tissues. In the absence of sufficient iron, the oxygen-carrying capacity of the blood is reduced, leading to symptoms such as shortness of breath.
B. "I feel hot all of the time":
Explanation: Feeling hot all the time is not a typical symptom of iron-deficiency anemia. Anemia is more likely to cause symptoms related to poor oxygen delivery, such as fatigue and shortness of breath.
C. "I have a difficult time falling asleep at night":
Explanation: Difficulty falling asleep is not a classic symptom of iron-deficiency anemia. Symptoms are more likely to be related to fatigue and weakness.
D. "I have an increase in my appetite":
Explanation: An increase in appetite is not a typical symptom of iron-deficiency anemia. In fact, individuals with anemia may experience a decrease in appetite.
Correct Answer is C
Explanation
A. Vitamin A Deficiency:
Symptoms: Enlarged tongue and smooth, beefy red appearance.
Relevance: Vitamin A deficiency is not typically associated with an enlarged tongue. It is more commonly linked to night blindness and skin issues.
B. Folic Acid Deficiency:
Symptoms: Enlarged tongue and smooth, beefy red appearance.
Relevance: Folic acid deficiency can lead to megaloblastic anemia and glossitis (inflammation of the tongue), which may present as an enlarged, smooth, and red tongue.
C. Vitamin B12 Deficiency:
Symptoms: Enlarged tongue and smooth, beefy red appearance.
Relevance: Vitamin B12 deficiency can cause pernicious anemia and glossitis, resulting in an enlarged, smooth, and red tongue.
D. Vitamin C Deficiency:
Symptoms: Not typically associated with an enlarged tongue.
Relevance: Vitamin C deficiency is more commonly associated with symptoms like scurvy, which includes bleeding gums, joint pain, and skin issues, but not specifically an enlarged tongue.
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