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 C
Explanation
Rationale:
A. Bradycardia is not specifically associated with Addison's disease and can occur in various conditions.
B. Addison's disease typically causes hyperkalemia, not hypokalemia, due to insufficient aldosterone production.
C. Hypotension is a common manifestation in Addison's disease because of inadequate cortisol and aldosterone, leading to decreased blood volume and vascular resistance.
D. Hypernatremia is not typical in Addison's disease; rather, clients usually experience hyponatremia due to the lack of aldosterone leading to sodium loss.
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.