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 C
Explanation
Choice A reason: Bradycardia:
Bradycardia, or a slow heart rate, is not typically associated with diabetes insipidus. Diabetes insipidus primarily affects the body’s ability to regulate fluid balance, leading to excessive urination and thirst. Bradycardia is more commonly related to conditions affecting the heart or the autonomic nervous system.
Choice B reason: Hyperglycemia:
Hyperglycemia, or high blood sugar, is a hallmark of diabetes mellitus, not diabetes insipidus. Diabetes insipidus is characterized by the kidneys’ inability to concentrate urine, leading to large volumes of dilute urine and increased thirst3. Hyperglycemia is not a symptom of diabetes insipidus.
Choice C reason: Dehydration:
Dehydration is a common and significant finding in diabetes insipidus. Due to the excessive loss of water through urine, individuals with diabetes insipidus often experience severe thirst and dehydration if they do not consume enough fluids to compensate for the loss. This is a key symptom that helps differentiate diabetes insipidus from other conditions.
Choice D reason: Polyphagia:
Polyphagia, or excessive hunger, is typically associated with diabetes mellitus, particularly when blood sugar levels are high and the body’s cells are not receiving adequate glucose. In diabetes insipidus, the primary symptoms are related to fluid imbalance, such as excessive urination (polyuria) and thirst (polydipsia), rather than hunger.
