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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?

A.

Weight gain

B.

Diaphoresis

C.

Palpitations

D.

Protruding eyeballs

Answer and Explanation

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 B

Explanation

Rationale:

A. A 2-hour blood glucose of 132 mg/dL is within normal limits, as levels under 140 mg/dL are considered normal after an oral glucose tolerance test.

B. A fasting blood glucose level of 155 mg/dL is above the normal threshold (greater than 126 mg/dL indicates diabetes).

C. A casual blood glucose of 178 mg/dL suggests hyperglycemia but does not meet the diagnostic criteria for diabetes unless associated with symptoms.

D. An HbA1c of 5.2% is well within the normal range (below 5.7%).

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.

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