What are clinical manifestations of hypothyroidism? (Select all that apply)
Lethargy
Constipation
Restlessness
Intolerance to heat
The Correct Answer is A
Choice A reason: Lethargy is a common manifestation of hypothyroidism, resulting from slowed metabolism due to low thyroid hormone levels. It leads to fatigue and reduced energy, aligning with hypothyroid symptoms, making it a correct choice for clinical manifestations.
Choice B reason: Constipation is a hallmark of hypothyroidism, caused by decreased gastrointestinal motility from low thyroid hormone. This digestive slowing is a frequent complaint, making it a correct selection for hypothyroidism’s clinical manifestations.
Choice C reason: Restlessness is associated with hyperthyroidism, not hypothyroidism, which causes lethargy and slowed activity. Hypothyroid patients lack the agitation seen in hyperthyroid states, so this is incorrect for hypothyroidism manifestations.
Choice D reason: Intolerance to heat is a hyperthyroidism symptom, not hypothyroidism, where patients experience cold intolerance due to slowed metabolism. This is opposite to hypothyroid effects, so it’s incorrect for hypothyroidism’s clinical manifestations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Active lifestyle and community engagement are protective, not risk factors, for hip fractures. Small frame and age-related bone loss increase fracture risk, so this misidentifies beneficial factors as risks and is incorrect.
Choice B reason: Active lifestyle and social engagement may reduce risk, but the question asks for risk factors. Small frame and age-related bone loss are primary risks for Ms. Major’s fracture, so this is incorrect.
Choice C reason: Healthy diet and social support are protective, not risk factors. Ms. Major’s small frame and age (60) increase bone density loss, elevating fracture risk, so this is incorrect.
Choice D reason: Small frame and age-related bone density loss (at 60) increase Ms. Major’s hip fracture risk, as lower bone mass and aging weaken bones. These are key risk factors, making this correct.
Correct Answer is A
Explanation
Choice A reason: Pulmonary emboli are a priority in ARDS, as they can cause or worsen hypoxemia and lung injury. Emboli block pulmonary arteries, leading to ventilation-perfusion mismatch, a common ARDS trigger, making this the correct condition to assess first.
Choice B reason: Pneumonia may contribute to ARDS but is less urgent than pulmonary emboli, which can rapidly cause life-threatening hypoxia. Emboli are a more immediate concern in ARDS, so this is incorrect.
Choice C reason: Acute pulmonary edema is linked to heart failure, not a primary ARDS cause. Pulmonary emboli directly trigger ARDS’s acute lung injury, making this less critical and incorrect for priority assessment.
Choice D reason: Heart failure may cause pulmonary edema but isn’t a primary ARDS trigger. Pulmonary emboli are a more urgent cause of ARDS-related hypoxia, so this is incorrect.
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