The nurse is assessing a client with hyperthyroidism. Which of the following findings should the nurse expect? Select all that apply.

Brittle nails

Cool skin

Nervousness

Hoarseness

Perspiration

Exophthalmos

Answer and Explanation

Correct Answer : C,E,F

A. Brittle nails are more commonly associated with hypothyroidism, not hyperthyroidism. In hyperthyroidism, nails tend to be stronger, although they may grow more quickly.
B. Cool skin is a sign of hypothyroidism, not hyperthyroidism. In hyperthyroidism, the skin is often warm and moist due to increased metabolic activity and the body's increased heat production.
C. Nervousness, anxiety, and irritability are common symptoms of hyperthyroidism due to the overstimulation of the sympathetic nervous system caused by elevated thyroid hormones.
D. Hoarseness is more commonly seen in hypothyroidism or in cases of thyroid nodules or goiter, not typically in hyperthyroidism.
E. Excessive perspiration is common in hyperthyroidism because of the increased metabolic rate and the body's tendency to generate more heat.
F. Exophthalmos (bulging of the eyes) is a hallmark symptom of Graves' disease, which is a common cause of hyperthyroidism. It occurs due to inflammation and swelling of the tissues around the eyes.

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Correct Answer is C

Explanation

A. Anorexia is not typically related to fluid intake in clients with hypothyroidism. In fact, some people with hypothyroidism may experience weight gain and have increased appetite rather than anorexia.
B. Cold intolerance is a common symptom of hypothyroidism due to a reduced metabolic rate, but it is not directly related to fluid intake. Increasing fluids would not directly alleviate cold intolerance.
C. One of the common symptoms of hypothyroidism is constipation, which occurs due to slowed gastrointestinal motility. Increasing fluid intake helps to soften stool and promote regular bowel movements, thus preventing constipation.
D. Hypothyroidism typically results in a lower oxygen demand because of a decreased metabolic rate. Fluid intake does not have a direct impact on oxygen demand.

A. Encourage the client to take the medication with food B. Instruct the client to try acetaminophen, aspirin or caffeine compounds instead. C. Instruct the client to stop taking the medication and speak with the health care provider. D. Tell the client she may need to increase the dose while pregnant.

Correct Answer is C

Explanation

A. Taking naproxen with food can reduce gastrointestinal upset, but this does not address its potential harm during pregnancy.
B. Acetaminophen is generally considered safe during pregnancy, but aspirin and caffeine compounds may carry risks and should not be recommended without provider guidance.
C. Instruct the client to stop taking the medication and speak with the health care provider is correct. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally not recommended during pregnancy, especially in the third trimester, due to potential risks such as premature closure of the ductus arteriosus and impaired fetal renal function. The client should stop taking the medication and consult with the provider for safer alternatives.
D. Increasing the dose of a potentially harmful medication during pregnancy is inappropriate and could increase risk to the fetus.

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The nurse is assessing a client with hyperthyroidism. Which of the following findings should the nurse expect? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

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