The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination?
Tachycardia
Dyspnea
Constipation
Atrophied nodular thyroid gland
The Correct Answer is A
A. Tachycardia is a common sign of hyperthyroidism, as elevated thyroid hormones increase heart rate and metabolic rate.
B. Dyspnea is not typically associated with hyperthyroidism; more commonly, hyperthyroid patients experience tachypnea (increased rate of breathing), but not necessarily dyspnea.
C. Constipation is more commonly associated with hypothyroidism, where metabolic slowing occurs.
D. Atrophied nodular thyroid gland is not typical of hyperthyroidism; a goiter (enlarged thyroid) is more commonly seen.
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Related Questions
Correct Answer is B
Explanation
A. Exophthalmos, or bulging eyes, is associated with hyperthyroidism (such as in Graves' disease), not acromegaly.
B. This is a hallmark sign of acromegaly. People with acromegaly often develop coarse, enlarged facial features (e.g., thickened lips, enlarged nose, protruding jaw, and enlarged tongue), which occur due to excess growth hormone.
C. While acromegaly can cause abnormal bone growth, especially in the hands and feet, it does not typically result in bowed long bones. This would be more suggestive of conditions like rickets or osteomalacia.
D. While acromegaly can lead to changes in the skull, it does not typically result in a distinctly acorn- shaped cranium. This is not a primary diagnostic feature of acromegaly.
Correct Answer is C
Explanation
A. Adrenal: The adrenal glands produce hormones like cortisol and adrenaline, but not thyroxine.
B. Parotid: The parotid glands are salivary glands and are unrelated to thyroxine production.
C. Thyroid: The thyroid gland produces thyroxine (T4), and elevated levels of this hormone indicate that the thyroid gland should be assessed for potential hyperthyroidism.
D. Parathyroid: The parathyroid glands regulate calcium levels but do not produce thyroxine.
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