Which of the following signs and symptoms is NOT a common characteristic of someone who has hyperthyroidism?
restlessness
nervousness
diarrhea
depression
weight loss
The Correct Answer is D
A. Restlessness: Restlessness is a common symptom of hyperthyroidism due to increased metabolic rate and heightened sympathetic nervous system activity. Clients often report difficulty sitting still and may have tremors.
B. Nervousness: Nervousness and anxiety are frequent manifestations of hyperthyroidism. Excess thyroid hormones stimulate the central nervous system, leading to irritability, agitation, and emotional lability.
C. Diarrhea: Increased gastrointestinal motility caused by elevated thyroid hormone levels often results in frequent, loose stools or diarrhea. This is a typical feature of hyperthyroidism.
D. Depression: Depression is not a common characteristic of hyperthyroidism; it is more often associated with hypothyroidism. Hyperthyroid patients are typically more anxious or irritable rather than depressed, although mood changes can occasionally occur.
E. Weight loss: Despite an increased appetite, weight loss is common in hyperthyroidism due to accelerated metabolism and catabolic effects on fat and muscle tissue. It is a hallmark sign of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Recurrent infections–visual changes–fatigue: These manifestations are more commonly seen in clients with poorly controlled or long-standing diabetes rather than at initial presentation of type 1 diabetes. They reflect chronic complications rather than acute onset symptoms.
B. Polydipsia–polyuria–polyphagia–weight loss: The classic presenting symptoms of type 1 diabetes include excessive thirst (polydipsia), frequent urination (polyuria), increased hunger (polyphagia), and unexplained weight loss. These result from insulin deficiency leading to hyperglycemia and catabolism of fat and muscle.
C. Vomiting–abdominal pain–dehydration: These symptoms may occur during diabetic ketoacidosis, a potential complication of type 1 diabetes, but they are not the typical presenting signs of the disease in an otherwise stable state. They indicate a more severe, acute metabolic disturbance.
D. Weakness–vomiting–hypotension: While these may be present in severe hyperglycemia or dehydration, they are nonspecific and do not represent the classic triad of type 1 diabetes onset. These findings suggest a more advanced complication rather than initial presentation.
Correct Answer is B
Explanation
A. Hemorrhoids: Hemorrhoids cause lower gastrointestinal bleeding, typically presenting as bright red blood in the stool. They do not result in hematemesis, and their location in the rectal area makes them unrelated to upper GI bleeding associated with liver disease.
B. Esophageal varices: Cirrhosis leads to portal hypertension, causing dilated veins in the lower esophagus. These varices are prone to rupture and can result in massive upper gastrointestinal bleeding, presenting as hematemesis. This is the most common and life-threatening source of bleeding in cirrhotic patients.
C. Peptic ulcer: Peptic ulcers can cause upper GI bleeding and hematemesis, but in the context of cirrhosis with portal hypertension, variceal bleeding is more likely. Ulcer-related bleeding is usually less acute in onset unless complicated by perforation.
D. Nasal polyps: Nasal polyps may cause minor epistaxis or nasal obstruction, but they do not lead to vomiting of blood. They are unrelated to gastrointestinal bleeding and liver disease.
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