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
Explanation
Rationale:
A. Checking the client's blood glucose level is the priority action to assess the current state of the client's blood glucose after administering the incorrect dose of insulin, which is essential for determining if further intervention is needed.
B. While giving carbohydrates might be necessary if the blood glucose level is low, checking the blood glucose first will provide the necessary information for the next steps.
C. Notifying the nurse manager is important, but it should not take precedence over assessing the client's current condition.
D. Completing an incident report is a required administrative task, but the immediate concern is the client's safety and well-being, which necessitates checking their blood glucose first.
Correct Answer is A
Explanation
Rationale:
A. Protein intake should be increased in hypothyroidism to support muscle mass and metabolism, which may slow due to reduced thyroid hormone levels.
B. Fiber is important for digestion, but it is not directly related to managing hypothyroidism. Excess fiber may also interfere with thyroid medication absorption.
C. Polyunsaturated fats are beneficial for overall health but do not specifically target the needs of clients with hypothyroidism.
D. Monounsaturated fats are also healthy, but they are not directly linked to the metabolic changes in hypothyroidism.