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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View Related questions
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.
Correct Answer is D
Explanation
Rationale:
A. Hypertension does not contraindicate the use of sulfonylureas.
B. A blood glucose level of 140 mg/dL is a common finding in type 2 diabetes, and sulfonylureas are used to control such levels.
C. Shingles (herpes zoster) does not directly contraindicate the use of sulfonylureas.
D. Sulfonylureas should not be given to patients with a sulfa allergy because these medications contain sulfa compounds, which could cause an allergic reaction.