All the following would most likely be seen in a client with gastric cancer except which clinical manifestation?

Choice A rationale

The client's symptoms, such as palpitations, high heart rate, restlessness, weight loss, amenorrhea, intolerance to heat, and bulging eyes, are consistent with hyperthyroidism. This condition occurs when the thyroid gland produces excessive amounts of thyroid hormones (Healthline, 2022).

Choice B rationale

Hypothyroidism typically presents with symptoms such as fatigue, weight gain, cold intolerance, constipation, and dry skin. This condition is characterized by an underactive thyroid gland (Healthline, 2022).

Choice C rationale

Hypoparathyroidism results from low parathyroid hormone levels, leading to symptoms like muscle cramps, tingling sensations, and tetany. It does not involve the thyroid gland (nih.gov, n.d.).

Choice D rationale

Hyperparathyroidism is caused by overactive parathyroid glands, resulting in high calcium levels in the blood. Symptoms include kidney stones, bone pain, and fatigue (Healthline, 2022).

Choice A rationale

While facial puffiness, bradycardia, and lethargy can be symptoms of many conditions, they are not typically signs of Graves’ disease.

Choice B rationale

Exophthalmos (bulging eyes) and tachycardia (rapid heart rate) are typical signs of Graves’ disease.

Choice C rationale

Delayed physical and intellectual development is not typically a sign of Graves’ disease.

Choice D rationale

While a goiter (enlarged thyroid gland) is a common sign of Graves’ disease, a decreased basal metabolic rate (MBR) is not typically associated with this condition.