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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

A.

cold intolerance

B.

depression dry skin

C.

weakness and fatigue

D.

constipation

E.

mental alertness

Question Solution

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","B","C","E"]

Explanation

A. Erythema (redness) can occur at the site of a gout attack due to inflammation in the affected joint.

B. Hyperuricemia (elevated levels of uric acid in the blood) is a hallmark of gout, leading to the formation of urate crystals.

C. Pain is a prominent symptom of gout, particularly during an acute attack when joints become inflamed and tender.

D. Diarrhea is not a direct complication of gout; it is more associated with gastrointestinal issues or medications.

E. Edema (swelling) can occur in the affected joint due to inflammation associated with gout.

Correct Answer is A

Explanation

A. +4 pitting edema is characterized by severe pitting that creates a deep indentation (greater than 8 mm) that remains for a prolonged period. This description matches the findings in option

B. This describes +1 pitting edema, which is not consistent with +4 edema.

C. This option describes +2 or +3 pitting edema, as the indentation subsides rapidly, which does not align with +4.

D. Although this describes deep pitting, the depth is less than 8 mm, which is not consistent with +4 edema.

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