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. Insulin vials should be gently rolled between the hands, not shaken vigorously, to avoid bubbles and damage to the insulin.
B. The client should decrease insulin before exercise to prevent hypoglycemia, as physical activity lowers blood glucose levels.
C. Insulin should never be frozen; it should be stored in the refrigerator or at room temperature once opened.
D. The abdominal area is the preferred site for insulin injections because it allows for more consistent absorption of the medication.
Correct Answer is A
Explanation
Rationale:
A. Airway patency is the priority concern following a thyroidectomy due to the risk of swelling or bleeding that can compress the airway, leading to respiratory compromise.
B. Hoarseness can occur due to laryngeal nerve irritation but is not the priority over airway concerns.
C. Pain control is important but is not the primary priority compared to maintaining a patent airway.
D. Visual deficits are not typically related to postoperative thyroidectomy care.