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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View Related questions
Correct Answer is B
Explanation
Choice A: Use Wool Blankets on Your Bed
Using wool blankets is not recommended for clients on home oxygen therapy. Wool and other materials that can generate static electricity pose a fire hazard when used around oxygen. Instead, clients should use cotton or other non-static generating materials to reduce the risk of fire.
Choice B: Do Not Adjust the Oxygen Flow Rate
This statement indicates an understanding of the teaching. Clients should not adjust the oxygen flow rate unless instructed by their healthcare provider. The prescribed flow rate is set to meet the client’s specific needs, and any changes could lead to inadequate oxygenation or other complications.
Choice C: Store Unused Oxygen Tanks Horizontally
This statement is incorrect. Oxygen tanks should be stored upright and secured to prevent them from falling over. Storing tanks horizontally can increase the risk of damage and potential leaks, which can be hazardous.
Choice D: Check Your Oxygen Equipment Once Each Week
While it is important to regularly check oxygen equipment, doing so only once a week may not be sufficient. Clients should check their equipment daily to ensure it is functioning properly and to identify any issues that need to be addressed promptly.
Correct Answer is D
Explanation
Choice A: Perform a Blind Finger Sweep
Performing a blind finger sweep is not recommended because it can push the foreign object further into the airway, making the obstruction worse. This method is only advised if the object is clearly visible and can be safely removed without causing further harm.
Choice B: Turn the Client to the Side
Turning the client to the side can be helpful in certain situations, such as when the client is unconscious or at risk of vomiting. However, in the case of a conscious client with a foreign body airway obstruction, this action does not directly address the obstruction and is not the first priority.
Choice C: Insert an Oral Airway
Inserting an oral airway is typically used to maintain an open airway in an unconscious patient who cannot maintain their own airway. For a conscious client with a foreign body obstruction, this action is not appropriate and could cause further complications.
Choice D: Administer the Abdominal Thrust Maneuver
Administering the abdominal thrust maneuver (also known as the Heimlich maneuver) is the recommended first action for a conscious client with a foreign body airway obstruction. This technique involves standing behind the client, placing a fist just above their navel, and delivering quick, upward thrusts to expel the foreign object. This method is effective in creating an artificial cough that can dislodge the obstruction.
