A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder.
Admitting diagnosis
acute hypothyroid disorder
Physician order
Synthroid 0.1 mg po daily
The receiving medical- surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply
cold intolerance
depression dry skin
weakness and fatigue
constipation
mental alertness
Correct Answer : A,B,C,D
A. Cold intolerance: Patients with hypothyroidism often have difficulty regulating body temperature, leading to a heightened sensitivity to cold.
B. Depression: Hypothyroidism can affect mood and cognitive function, often leading to symptoms of depression.
C. Weakness and fatigue: Low thyroid hormone levels can cause significant fatigue and muscle weakness due to a slower metabolism.
D. Constipation: A slowed metabolism can also affect gastrointestinal motility, resulting in constipation.
E. Mental alertness: This is typically not expected in hypothyroid patients. In fact, they may experience cognitive impairments, memory issues, or slowed thinking rather than mental alertness.
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View Related questions
Correct Answer is ["A","C"]
Explanation
A. Increase daily exercise: Regular physical activity helps stimulate bowel movements and can relieve constipation.
B. Be sure to take good care of your teeth: While dental health is important, it is not directly related to constipation management.
C. Incorporate more fresh fruits and vegetables in your daily intake: These foods are high in fiber, which helps to soften stool and promote regularity.
D. Avoid drinking hot liquids: This is not a standard recommendation for managing constipation; warm liquids can sometimes aid in bowel movements.
E. Increase intake of low fiber foods: This would likely worsen constipation, as low-fiber diets can contribute to harder stools.
Correct Answer is D
Explanation
A. Sensitivity to cold is more commonly associated with hypothyroidism, not hyperthyroidism.
B. Constipation is also more commonly associated with hypothyroidism; hyperthyroidism often causes increased bowel movements.
C. Weight gain is typically not seen in hyperthyroidism; clients often experience weight loss despite an increased appetite.
D. Irritability and nervousness are common manifestations of hyperthyroidism due to increased metabolism and sympathetic nervous system activity.