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What should a nurse be alert about when evaluating a client for hypothyroidism?

What should a nurse be alert about when evaluating a client for hypothyroidism?

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A. Exophthalmos and conjunctival redness.
B. Flushed, warm, moist skin.
C. Systolic murmur at the left sternal border.
D. Decreased body temperature and cold intolerance.
Asked by Filbert, Last updated: Sep 13, 2020

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3 Answers

E. Dixon

E. Dixon

E. Dixon
E. Dixon

Answered Aug 24, 2020

The correct answer is option D - Decreased body temperature and cold intolerance.
Hypothyroidism is defined as the state of insufficient production of thyroid hormone by the thyroid gland. This condition is common, and it can be treated.

The symptoms of hypothyroidism include bradycardia, fatigue, weight gain, cold intolerance, constipation, dry skin, decreased sweating, decease metabolic rate, muscle weakness, hoarseness, thinning of hair, impaired memory, puffy face, and depression. The major cause of the symptoms is the decrease in metabolic state.

Therefore, the nurse should monitor the decrease in temperature and cold intolerance.
Exophthalmos and conjunctival redness, flushed, warm, moist skin, systolic murmur at the left sternal borders are signs of hyperthyroidism, not hypothyroidism. Therefore, options A, B and C are incorrect.

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Bobby Rickets

Bobby Rickets

Bobby Rickets
Bobby Rickets, Content Reviewer

Answered Jan 23, 2019

The correct answer to this question is D. The nurse should be concerned about decreased body temperature and cold intolerance when evaluating a client for hypothyroidism. Hypothyroidism normally causes a decrease in the metabolic rate of the client. This is what causes a reduced body temperature and cold intolerance.

Hypothyroidism is very common, and very treatable condition. Some clients can experience some or all of several symptoms including a slowed heart rate, anorexia from lack of an apetite, slowed breathing, and can often have increased amounts of redness in their skin.

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John Smith

John Smith

John Smith
John Smith

Answered Sep 09, 2016

Decreased body temperature and cold intolerance.-rationale: hypothyroidism markedly decreases the metabolic rate, causing a reduced body temperature and cold intolerance. other signs and symptoms include dyspnea, hypoventilation, bradycardia, hypotension, anorexia, constipation, decreased intellectual function, and depression. exophthalmos; conjunctival redness; flushed, warm, moist skin; and a systolic murmur at the left sternal border are typical findings in a client with hyperthyroidism.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: knowledgereference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1455.
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