Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

Poor dentition

Skin is pink, dry and warm

Client states, "I can't seem to get warm lately"

Weight gain of five pounds in two months

Periorbital non-pitting edema

Answer and Explanation

Correct Answer : A,C,E

A.   Poor dental health can be linked to hypothyroidism, as it may cause a decrease in oral health.
B.   Skin should be dry and cool in hypothyroidism, making this finding abnormal.
C.   Client states, "I can't seem to get warm lately." Cold intolerance is a hallmark symptom of hypothyroidism due to slowed metabolism.
D.   Weight gain of five pounds in two months. Mild weight gain can occur in hypothyroidism but may not be significant enough to consider abnormal without other symptoms.
E.   Periorbital non-pitting edema. This finding is common in hypothyroidism and indicates water retention around the eyes.

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Correct Answer is C

Explanation

A. While alcohol consumption and stress are risk factors, they are not as directly correlated to heart disease as smoking, hypertension, obesity, diabetes, and high cholesterol.
B. Although personality type is being explored as a risk factor, it is not as directly linked to heart disease risk as the factors listed in option C.
C. Smoking, hypertension, obesity, diabetes, and high cholesterol. These are well-established major risk factors for heart disease, directly impacting cardiovascular health.
D. Family history, hypertension, stress, and age. Family history, stress, and age can be risk factors, but the factors listed in option C are more direct and actionable in terms of management.

A. Brainstem B. Cerebellum C. Extrapyramidal tract D. Thalamus

Correct Answer is C

Explanation

A. The brainstem controls basic life functions but is not primarily responsible for balance.
B. The cerebellum is directly involved in maintaining balance and coordination. Issues with the cerebellum would likely cause unsteadiness and difficulty in maintaining balance.
C. The extrapyramidal system influences motor control but is less directly responsible for balance compared to the cerebellum.
D. The thalamus acts as a relay center for sensory and motor signals but does not specifically control balance.

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Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

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