A nurse assesses a client on the medical-surgical unit. Which statement made by the client should alert the nurse to the possibility of hypothyroidism?

"My sister has thyroid problems."

“I am always tired, even with 12 hours of sleep."

"Food just doesn't taste good without a lot of salt."

"I seem to feel the heat more than other people."

Answer and Explanation

The Correct Answer is B

A. "My sister has thyroid problems.": While a family history of thyroid problems may increase the risk of developing thyroid disorders, this statement alone does not directly indicate hypothyroidism in the client.

B. “I am always tired, even with 12 hours of sleep.": Fatigue or tiredness, even with adequate sleep, is a common symptom of hypothyroidism. An underactive thyroid leads to metabolic slowing, causing feelings of exhaustion despite sufficient rest.

C. "Food just doesn't taste good without a lot of salt.": While a preference for salty food could occur in some individuals, it is not a common or specific symptom of hypothyroidism. This could be related to other factors, such as personal taste preferences or sodium intake.

D. "I seem to feel the heat more than other people.": This statement suggests heat intolerance, which is more commonly associated with hyperthyroidism. In hypothyroidism, individuals tend to feel cold intolerance due to reduced metabolic activity.

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Correct Answer is A

Explanation

A. Decreases: Exercise increases the body's sensitivity to insulin, allowing cells to use glucose more effectively. As a result, a diabetic patient may need less insulin after exercise to maintain normal blood glucose levels.

B. Increases: Exercise generally lowers the body's insulin requirements, not increases them. This is because exercise improves insulin sensitivity, making it easier for the body to manage glucose.

C. Remains unchanged: Exercise has a significant physiological impact on glucose metabolism and insulin sensitivity. To maintain optimal blood glucose control, the insulin regimen is often lowered, in conjunction with a regular exercise program.

D. Is changed to regular insulin: Exercise does not specifically require a change to regular insulin. Exercise can affect the overall amount of insulin needed, but it does not necessarily require a change in the type of insulin used.

A. The patient eats a high-carbohydrate snack before the exercise period. B. The patient reduces insulin use during days when exercise periods are planned. C. The patient should know blood sugar before activity. D. The patient administers insulin after exercise rather than before exercise.

Correct Answer is C

Explanation

A. The patient eats a high-carbohydrate snack before the exercise period: It is important for a patient with type 1 diabetes to ensure they have adequate glucose levels for exercise. Eating a high-carbohydrate snack before exercise is not always necessary unless blood glucose is low.

B. The patient reduces insulin use during days when exercise periods are planned: Insulin needs may be adjusted in relation to exercise, but reducing insulin across the board is not recommended without professional guidance.

C. The patient should know blood sugar before activity: It is important for patients with type 1 diabetes to check their blood sugar before exercise to ensure it is in a safe range. If the blood sugar is too low, they should consume a carbohydrate to prevent hypoglycemia.

D. The patient administers insulin after exercise rather than before exercise: Insulin should be timed appropriately to cover food intake and prevent post-meal hyperglycemia. Delaying insulin until after exercise could lead to high blood sugar levels.

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A nurse assesses a client on the medical-surgical unit. Which statement made by the client should alert the nurse to the possibility of hypothyroidism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has asked why she needs to exercise. The nurse tells her that if the diabetic patient exercises, then the insulin requirement

Correct Answer is A

Explanation

A patient with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise period. Which action best indicates understanding of condition management?

Correct Answer is C

Explanation

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