A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?
Constipation
Sensitivity to cold
Weight gain of 4.5 kg (10 lbs) in 3 weeks
Frequent mood changes
The Correct Answer is D
Choice A Reason:
Constipation is not typically associated with hyperthyroidism. Hyperthyroidism usually speeds up the body’s metabolism, leading to symptoms like increased bowel movements or diarrhea rather than constipation.
Choice B Reason:
Sensitivity to cold is more commonly associated with hypothyroidism, where the body’s metabolism slows down. In hyperthyroidism, patients often experience heat intolerance due to an increased metabolic rate.
Choice C Reason:
Weight gain of 4.5 kg (10 lbs) in 3 weeks is also more indicative of hypothyroidism. Hyperthyroidism generally causes weight loss despite an increased appetite because of the accelerated metabolism.
Choice D Reason:
Frequent mood changes are a common symptom of hyperthyroidism. The excess thyroid hormones can affect the nervous system, leading to symptoms such as anxiety, irritability, and mood swings.
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Correct Answer is B
Explanation
Choice A reason:
Wiping from back to front is incorrect and can lead to contamination of the urine sample with bacteria from the anal area. The correct method is to wipe from front to back to reduce the risk of contamination.
Choice B reason:
Urinating a small amount in the toilet before collecting the sample is the correct procedure for obtaining a midstream urine specimen. This helps to flush out any bacteria or contaminants from the urethra, ensuring that the sample collected is as clean as possible.
Choice C reason:
Letting the urine cool to room temperature before sending it to the lab is incorrect. Urine samples should be sent to the lab as soon as possible after collection to ensure accurate results. If there is a delay, the sample should be refrigerated.
Choice D reason:
It is generally recommended to avoid collecting a urine sample during menstruation, as menstrual blood can contaminate the sample and affect the test results.
Correct Answer is D
Explanation
Choice A reason:
Family history of cardiac disease is a non-modifiable risk factor. This means it cannot be changed or controlled through lifestyle or behavioral modifications. A family history of heart disease increases an individual’s risk, but it is not something that can be altered.
Choice B reason:
Increasing age is another non-modifiable risk factor. As people age, their risk for cardiovascular disease naturally increases. This is due to the cumulative effects of aging on the cardiovascular system, which cannot be changed.
Choice C reason:
The diagnosis of diabetes mellitus is a complex risk factor. While the presence of diabetes itself is not modifiable, the management of diabetes through lifestyle changes, medication, and diet can significantly reduce cardiovascular risk. However, the condition itself remains a non-modifiable risk factor.
Choice D reason:
Cigarette smoking is a modifiable risk factor. This means that individuals can reduce their risk of cardiovascular disease by quitting smoking. Smoking cessation has been shown to significantly lower the risk of heart disease and improve overall cardiovascular health.