A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
Weight gain
Diaphoresis
Palpitations
Protruding eyeballs
The Correct Answer is A
Rationale:
A. Weight gain is common in hypothyroidism due to a slowed metabolism.
B. Diaphoresis is more associated with hyperthyroidism, not hypothyroidism.
C. Palpitations are a symptom of hyperthyroidism.
D. Protruding eyeballs (exophthalmos) is associated with Graves' disease, a form of hyperthyroidism.
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Correct Answer is ["A","B","C","E"]
Explanation
Rationale:
A. Assessing blood glucose levels is important because Cushing's syndrome can cause insulin resistance, leading to hyperglycemia.
B. Assessing for neck vein distention is necessary as it can indicate fluid overload, a common issue in Cushing's syndrome due to increased cortisol levels.
C. Weighing the client daily helps monitor for weight gain, which is a characteristic of Cushing's syndrome due to fat redistribution and fluid retention.
D. Monitoring for postural hypotension is less relevant in Cushing's syndrome; clients often experience hypertension rather than hypotension.
E. Monitoring for an irregular heart rate is important as electrolyte imbalances (like hypokalemia) associated with Cushing's can lead to cardiac arrhythmias.
Correct Answer is D
Explanation
Rationale:
A. Taking a laxative yesterday is not directly relevant to the IVP procedure and does not typically pose a significant risk.
B. Not eating or drinking since the night before is expected for clients scheduled for an IVP due to the need for fasting prior to the procedure.
C. Reporting painful voiding may indicate a urinary tract issue, but it is not directly related to the IVP itself.
D. Taking metformin before breakfast is concerning because metformin should generally be withheld prior to IV contrast studies due to the risk of lactic acidosis, especially if renal function is compromised.