A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the findings should the nurse expect?
Moist skin
Bradycardia
Insomnia
Blurred vision
The Correct Answer is B
Rationale:
A. Dry skin, rather than moist skin, is a common finding in hypothyroidism due to decreased metabolism and circulation.
B. Bradycardia (slow heart rate) is expected in hypothyroidism because of reduced metabolic activity and cardiac output.
C. Fatigue and increased sleep, not insomnia, are common in hypothyroidism due to decreased energy levels.
D. Blurred vision is not typically associated with hypothyroidism; vision changes are more common in hyperthyroidism, particularly with Graves' disease.
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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. Toenail trimming should be performed by a professional to prevent injury, but it does not require immediate reporting.
B. Dark yellow urine can indicate dehydration, but it is not an urgent concern in this context.
C. Dizziness when standing is a concern, but it does not take priority over the refusal of breakfast, which may lead to hypoglycemia.
D. A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.