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 D
Explanation
Rationale:
A. Fruity breath is a sign of ketoacidosis, a more severe complication of hyperglycemia.
B. Increased thirst (polydipsia) is a common symptom of hyperglycemia due to dehydration caused by high blood glucose levels.
C. Blurry vision may also occur with hyperglycemia, as high blood sugar can affect fluid levels in the eyes.
D. Hyperglycemia is more likely to cause an increased appetite (polyphagia), rather than a decreased one.
Correct Answer is D
Explanation
Rationale:
A. Levothyroxine (Synthroid) is used to treat hypothyroidism, not hyperthyroidism.
B. Liotrix (Thyrolar) is a combination of T4 and T3 used for hypothyroidism, not hyperthyroidism.
C. Liothyronine (Cytomel) is another thyroid hormone replacement used for hypothyroidism.
D. Propylthiouracil (Propacil) is an antithyroid medication used to treat hyperthyroidism by inhibiting thyroid hormone synthesis.