A client has been newly diagnosed with hypothyroidism.
What symptoms or signs would be expected with this diagnosis? Select all that apply.
Pulse of 126.
Chronic fatigue.
Hypoactive bowel sounds.
Cold intolerance.
Pulse of 54.
Correct Answer : B,C,D
These are some of the common symptoms of hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones. Thyroid hormones regulate the body’s metabolism, temperature and heart rate.
Choice A is wrong because a pulse of 126 is too high for hypothyroidism. Hypothyroidism usually causes a slow heart rate (bradycardia), not a fast one (tachycardia). A normal resting pulse rate for adults is between 60 and 100 beats per minute.
Choice E is wrong because a pulse of 54 is within the normal range for
hypothyroidism. Hypothyroidism can cause a pulse rate lower than 60 beats per minute, but this is not always abnormal. Some people, such as athletes, may have a lower resting pulse rate due to their fitness level.
The normal ranges for thyroid function tests are:
- Thyroid-stimulating hormone (TSH): 0.4 to 4.0 milli-international units per liter (mIU/L).
- Free thyroxine (T4): 0.8 to 2.8 nanograms per deciliter (ng/dL).
- Total triiodothyronine (T3): 80 to 220 ng/dL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A heart murmur is a priority assessment for a toddler who is diagnosed with fetal alcohol syndrome because it may indicate a congenital heart defect, which can affect the child’s growth, development and oxygenation. According to the health search results, fetal alcohol syndrome can cause heart and kidney problems, among other complications.
Choice A is wrong because small head size is a common feature of fetal alcohol syndrome, but it is not a priority assessment. It indicates that the child has microcephaly, which is associated with intellectual and learning disabilities.
Choice B is wrong because poor coordination is another common feature of fetal alcohol syndrome, but it is not a priority assessment. It indicates that the child has problems with motor skills and balance.
Choice C is wrong because speech and language delays are also common features of fetal alcohol syndrome, but they are not a priority assessment. They indicate that the child has problems with communication and social skills.
Correct Answer is C
Explanation
This is because renal calculi can cause renal colic, which is a sudden and intense pain in the flank area that radiates to the groin or testicles.
The pain is caused by the stone obstructing the ureter and triggering spasms.
Choice A is wrong because a feeling of pressure in the bladder is more likely to indicate a lower urinary tract infection or an overactive bladder.
Choice B is wrong because a mild, burning pain when urinating is more likely to indicate a urinary tract infection or a urethral injury.
Choice D is wrong because a constant, dull, aching pain in the right upper quadrant is more likely to indicate a liver or gallbladder problem.
Normal ranges for urine pH are 4.5 to 8.0, and for specific gravity are 1.005 to 1.030.
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