During a physical assessment the nurse suspects a patient is experiencing hypothyroidism. What skin assessment findings did the nurse use to make this assumption?

Select all that apply.

1. rough, dry skin
2. smooth, flushed skin
3. yellowish cast to the skin
4. areas of hyperpigmentation
5. purple striae over the abdomen


Correct Answer: 1, 3
Rough, dry skin is often seen in patients with hypothyroidism. A yellowish cast to the skin might indicate hypothyroidism. Smooth, flushed skin can be a sign of hyperthyroidism. Areas of hyperpigmentation may be seen in patients with Addison disease or Cushing syndrome. Purple striae over the abdomen may be present in patients with Cushing syndrome.

Nursing

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