Please select the most appropriate nursing diagnosis for a 15 year old with hyperthyroidism. Select all that apply
1. Disturbed body image related to changes in physical appearance
2. Imbalanced nutrition related to increased metabolic demands
3. Risk for decreased fluid volume related to excess salt excretion
4. Constipation related to thyroid medication side effects
1, 2
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1. Body image according to normal growth and development is very important to an adolescent. If the adolescent with hyperthyroidism is having adverse effects, such as drastic weight loss, exopthalmus, or other complications, his/her sense of self-esteem will be altered. He/she will also have imbalanced nutrition since his/her metabolic needs exceed his/her nutritional needs.
2. Body image according to normal growth and development is very important to an adolescent. If the adolescent with hyperthyroidism is having adverse effects, such as drastic weight loss, exopthalmus, or other complications, his/her sense of self-esteem will be altered. He/she will also have imbalanced nutrition since his/her metabolic needs exceed his/her nutritional needs.
3. They do not loose salt with this disorder. Constipation is a side effect of hypothyroidism, not hyperthyroidism.
4. Diarrhea is an adverse event in children who have hyperthyroidism.
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and 
is ________.
Fill in the blank(s) with the appropriate word(s).