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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Foot care is crucial for individuals with diabetes due to the increased risk of neuropathy and poor circulation. Daily inspection for cuts, blisters, or other injuries is vital to prevent infections and complications, such as diabetic ulcers or amputations.
B. Heating pads should not be used by people with diabetes, as they may not be able to feel the heat due to diabetic neuropathy. This increases the risk of burns and injury. It is safer to use other methods for warming hands and feet, such as wearing socks or gloves.
C. People with diabetes are at an increased risk for infections, including pneumonia. The pneumonia vaccine (PPSV23 and/or PCV13) is recommended for individuals with diabetes to help reduce the risk of pneumonia. This statement is false.
D. People with diabetes should have regular eye examinations, but they should be scheduled annually, not every 5 years. Diabetes can lead to diabetic retinopathy, which can cause vision loss if not monitored and treated promptly. Annual eye exams are recommended to detect any changes early.
Correct Answer is C
Explanation
A. Chocolate is actually a common trigger for migraines in some people, due to its caffeine content and the presence of other compounds that can provoke migraines. It’s better to avoid chocolate if it is a known trigger.
B. Oral contraceptives can sometimes trigger migraines in women, especially those with a history of migraines. The hormonal fluctuations associated with oral contraceptive use can be a potential trigger for some individuals.
C. Maintaining a regular sleep schedule is an important lifestyle change for migraine prevention. Irregular sleep patterns or poor-quality sleep are common triggers for migraines. A consistent sleep routine helps regulate the body’s circadian rhythms and may help reduce migraine frequency.
D. Bright lighting can actually trigger migraines in some people. It’s better to avoid glare and use softer, dimmer lighting, especially in environments where you spend a lot of time.
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