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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Correct Answer is D
Explanation
Rationale:
A. Hyperglycemia typically presents with polyuria, thirst, and blurred vision, rather than sweating and shakiness.
B. Diabetic ketoacidosis presents with symptoms like deep breathing (Kussmaul respirations), fruity breath, and confusion, not sweating and tachycardia.
C. Nephropathy does not cause these acute symptoms; it is a long-term complication involving kidney damage.
D. Hypoglycemia presents with symptoms such as sweating, tachycardia, shakiness, and lightheadedness, which match the client's presentation.
Correct Answer is D
Explanation
Rationale:
A. Dorsal recumbent is not an ideal position after a thyroidectomy due to the risk of airway obstruction.
B. Supine position does not provide optimal airway protection post-surgery.
C. Sims' position is not recommended for clients recovering from a thyroidectomy as it could affect breathing and circulation.
D. Fowler’s position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.