A 52-year-old client presents to the clinic with complaints of fatigue, weight gain, and feeling cold even in warm environments. The client also reports having dry skin. The healthcare provider suspects hypothyroidism. Which assessment finding should the nurse anticipate in this client?
Bulging eyes
Fatigue
Flushed, moist skin
Palpitations
The Correct Answer is B
Choice A reason: Bulging eyes are characteristic of Graves’ disease, a form of hyperthyroidism, not hypothyroidism.
Choice B reason: Fatigue is one of the most common symptoms of hypothyroidism due to slowed metabolic processes and decreased energy production.
Choice C reason: Flushed, moist skin is associated with hyperthyroidism, where increased metabolism leads to heat intolerance and sweating. Hypothyroidism typically presents with dry, coarse skin.
Choice D reason: Palpitations are more commonly seen in hyperthyroidism due to increased sympathetic activity. Hypothyroidism often results in bradycardia and a slowed heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Holding insulin during illness can lead to hyperglycemia and diabetic ketoacidosis (DKA). Insulin should generally be continued unless otherwise directed.
Choice B reason: Illness increases metabolic stress and can cause unpredictable glucose fluctuations. Frequent monitoring helps detect and manage hyperglycemia or hypoglycemia early.
Choice C reason: Reducing glucose checks during illness is unsafe and increases the risk of complications.
Choice D reason: Checking protein levels is not part of standard sick day management for diabetes. Monitoring ketones and glucose is more relevant.
Correct Answer is C
Explanation
Choice A reason: Furosemide is a loop diuretic that increases the excretion of sodium, potassium, and water. It is more commonly associated with hypokalemia and hyponatremia, not hyperkalemia.
Choice B reason: Hydrochlorothiazide is a thiazide diuretic that can cause hyponatremia and hypokalemia due to its action on the distal tubule, but it does not typically cause hyperkalemia.
Choice C reason: Spironolactone is a potassium-sparing diuretic that blocks aldosterone, leading to sodium excretion and potassium retention. This mechanism increases the risk of hyperkalemia. Additionally, it can contribute to hyponatremia due to water retention and sodium loss.
Choice D reason: Bumetanide, like furosemide, is a loop diuretic and is associated with hypokalemia and hyponatremia, not hyperkalemia.
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