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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Correct Answer is A
Explanation
A. Presbyopia is a common age-related condition that affects the ability to see close objects clearly, which aligns with the client's difficulty in reading, sewing, and seeing faces up close.
B. While some vision changes are expected with aging, the specific difficulties the client is experiencing suggest a more definitive condition rather than "normal" vision changes.
C. While cataracts can cause vision issues, the specific symptoms described (trouble reading and seeing objects up close) are more characteristic of presbyopia.
D. Glaucoma typically involves peripheral vision loss rather than difficulty with near vision, so this option is not supported by the findings.
Correct Answer is C
Explanation
A. Heroin use is generally associated with intravenous use and is less commonly linked to nasal septum perforation.
B. Ecstasy (MDMA) is primarily used in tablet form and is not typically associated with nasal use that would cause septal perforation.
C. Cocaine is frequently snorted, which can lead to irritation and damage to the nasal passages and septum, resulting in perforation.
D. Marijuana is usually smoked rather than snorted, and it is not commonly associated with nasal septum perforation.