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 A
Explanation
Rationale:
A. Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
B. Massaging the injection site is not recommended, as it can alter the absorption rate and lead to unpredictable blood glucose levels.
C. Insulin is absorbed most rapidly when injected into the abdomen, not the thigh.
D. Using cold insulin is not advised as it can cause more pain during the injection; room temperature insulin is typically more comfortable for injections.
Correct Answer is A
Explanation
Rationale:
A. NPH insulin is an intermediate-acting insulin that peaks 6-8 hours after administration. Offering a snack at 1500 helps prevent hypoglycemia during the peak action of the insulin.
B. 0730 is too soon after the insulin administration, and the peak effect has not occurred yet.
C. 0900 is still early in the insulin's action, and hypoglycemia is unlikely at this time.
D. 1230 is during the early stages of NPH insulin's action, but hypoglycemia typically does not occur until the peak time later in the day.