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. 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.
Correct Answer is A
Explanation
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.