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A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?

A.

Exophthalmos

B.

Weight gain

C.

Diaphoresis

D.

Palpitations

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. Exophthalmos is typically associated with hyperthyroidism, particularly in Graves' disease, and is not a characteristic finding in hypothyroidism.

 

B. Weight gain is a common symptom of hypothyroidism due to the slowed metabolism caused by reduced thyroid hormone levels. Clients often report unexplained weight gain despite maintaining a normal diet and activity level.

 

C. Diaphoresis, or excessive sweating, is more commonly associated with hyperthyroidism, where increased metabolism leads to heat intolerance and sweating.

 

D. Palpitations are also more commonly associated with hyperthyroidism, where an increased heart rate and heightened sensitivity to adrenaline are common. In hypothyroidism, bradycardia or a slowed heart rate may be observed instead.


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View Related questions

Correct Answer is A

Explanation

Rationale:

A. Airway patency is the highest priority following a thyroidectomy due to the risk of airway obstruction from swelling or hematoma formation near the surgical site. Compromised airway can lead to respiratory distress and requires immediate attention.

B. While monitoring temperature is important for detecting potential infections, it is not the immediate priority.

C. Pain control is important for comfort and recovery, but it is not life-threatening.

D. Urination should be monitored postoperatively, but it is not as critical as ensuring a patent airway.

Correct Answer is D

Explanation

Rationale:

A. A low temperature is not indicative of organ rejection; fever would be more concerning.

B. Weight loss is not a typical sign of acute organ rejection; weight gain due to fluid retention might be observed.

C. Insomnia is not specifically associated with organ rejection.

D. Oliguria (decreased urine output) is a significant sign of possible kidney transplant rejection, as it may indicate impaired kidney function.

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