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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Increasing capillary fragility contributes to bruising and bleeding but does not directly cause skin folding or sagging.
B. Increased sebaceous and sweat glands may affect skin texture but are not the primary cause of sagging skin.
C. Decreased collagen is the primary reason for skin sagging in aging, as collagen provides structure and elasticity to the skin. With age, collagen production decreases, leading to wrinkles and sagging.
D. Loss of elasticity is a consequence of reduced collagen and elastin fibers, contributing to skin changes, but decreased collagen is the main cause of the sagging.

A. Smoking, hypertension, obesity, diabetes, and high cholesterol B. Personality type, high cholesterol, diabetes, and smoking C. Alcohol consumption, obesity, diabetes, stress, and high cholesterol D. Family history, hypertension, stress, and age

Correct Answer is A

Explanation

A. Smoking, hypertension, obesity, diabetes, and high cholesterol: These are all well-established major risk factors for heart disease and should be included in the patient's history.
B. Personality type, high cholesterol, diabetes, and smoking: While personality type may contribute to stress, the other factors listed are more directly linked to heart disease.
C. Alcohol consumption, obesity, diabetes, stress, and high cholesterol: Alcohol consumption may be a risk factor, but smoking and hypertension are more significant.
D. Family history, hypertension, stress, and age: While family history, age, and hypertension are important, this option misses key factors like obesity, smoking, and diabetes.

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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?

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Naxlex Comprehensive Predictor Exams

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