A 40-year-old female client has a family history of "thyroid problems" and is being seen by the primary healthcare provider for unintentional weight loss, irritability, and chest discomfort. Her probable diagnosis is hyperthyroidism, which the primary healthcare provider plans to confirm by laboratory testing.
What additional physical assessment findings would the nurse expect to be present in this client?
Select all that apply.
Diaphoresis
Insomnia
Hypotension
Decreased deep tendon reflexes.
Constipation
Correct Answer : A,B,E
Answer c is incorrect because hyperthyroidism typically causes hypertension, not hypotension. Answer d is also incorrect because hyperthyroidism typically causes increased, not decreased, deep tendon reflexes. Answer f is incorrect because hyperthyroidism typically causes diarrhea, not constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
The serum laboratory test results that support the probable diagnosis of hyperthyroidism in a 40- year-old female client with a family history of thyroid problems and presenting with symptoms of unintentional weight loss, irritability, and chest discomfort are increased T4 (thyroxine) and T3 (triiodothyronine) levels, as hyperthyroidism is characterized by excess production of thyroid hormones. Options b, c, e, f, and g are not typically associated with hyperthyroidism.
Correct Answer is D
Explanation
Diabetes insipidus is a condition in which the body is unable to properly regulate fluid balance, leading to excessive urination (polyuria) and thirst. Therefore, the nurse should anticipate the clinical manifestation of polyuria in a patient admitted to the hospital with diabetes insipidus. The patient may excrete large amounts of dilute urine, which can lead to dehydration if adequate fluid replacement is not provided. The other options listed (fluid volume overload, decreased gas exchange, and generalized edema) are not typically associated with diabetes insipidus, as this condition is characterized by a deficiency of antidiuretic hormone (ADH) rather than an excess of fluid.
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