A nurse is educating a 28-year-old female client about the impacts of hypothyroidism on overall health. Which of the following statements would the nurse include in the teaching?
"If you become pregnant, low thyroid hormone levels can affect your developing fetus."
"Hypothyroidism can cause autoimmune disorders overtime."
"Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase."
"Low blood pressure is usually associated with hypothyroidism."
The Correct Answer is A
A. "If you become pregnant, low thyroid hormone levels can affect your developing fetus." Hypothyroidism during pregnancy can lead to developmental issues in the fetus. Adequate thyroid hormone levels are crucial for fetal neurodevelopment and growth.
B. "Hypothyroidism can cause autoimmune disorders over time.": Hypothyroidism itself is often caused by autoimmune disorders like Hashimoto's thyroiditis, not the other way around.
C. "Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase.": This describes hyperthyroidism, not hypothyroidism.
D. "Low blood pressure is usually associated with hypothyroidism.": Hypothyroidism can lead to increased blood pressure, not low blood pressure.
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Related Questions
Correct Answer is B
Explanation
A. Hypotension: Hyperthyroidism typically causes increased cardiac output and can lead to normal or elevated blood pressure, not hypotension.
B. Tachycardia. Elevated thyroid hormones increase metabolic rate and sympathetic nervous system activity, leading to tachycardia.
C. Slow respiratory rate: There is no direct effect of hyperthyroidism on respiratory rate.
D. Decreased body temperature: Hyperthyroidism is associated with increased metabolism, which can lead to heat intolerance and increased body temperature, not decreased.
Correct Answer is A
Explanation
A. "Take this medication before a meal or several hours after a meal." Levothyroxine absorption can be affected by food, so it's generally recommended to take it on an empty stomach to ensure consistent absorption. Food, particularly high-fiber or calcium-rich foods, can interfere with levothyroxine absorption, hence taking it before meals or a few hours after meals helps optimize its effectiveness.
B. "Take this medication during your morning meal.": This may not ensure consistent absorption as food can still interfere with medication absorption.
C. "Take this medication with a full glass of water or fruit juice.": While water is recommended for swallowing pills, it doesn't address timing or food interactions.
D. "Take this medication with high-protein foods.": Protein content in food does not affect levothyroxine absorption directly.
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