A nurse is caring for a female client age 35 who was recently diagnosed with hypothyroidism. After reviewing the nursing admission assessment, the nurse plans care for this client based on which of the following documented findings?
1. Hot flashes
2. Tachycardia
3. Fatigue
4. Nausea
3. Fatigue
Rationale:
Symptoms of hypothyroidism include fatigue, increased need for sleep, bradycardia, cold intolerance, ataxia and balance difficulties, and hypothermia. Hot flashes, tachycardia, and nausea are not symptoms of hypothyroidism.
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a. Ask the group, "Have you noticed who is talking at this time?" b. Tell the two group members, "I would like you to stop talking." c. Provide the two group members with a verbal summary of what the group has been discussing. d. Ask the two group members, "Would you share your comments with the group?"
A 61-year-old obese patient is diagnosed with type 2 diabetes and high blood pressure. The patient states that he is upset about the diet restrictions imposed by the treatment regimen. What is the nurse's best approach?
a. Tell the patient that he must do what the doctor tells him. b. Offer counseling on nutrition and exercise. c. Tell the patient about what happened to other patients who did not change their lifestyle. d. Explain that he needs to accept the care provider's advice without question if he wants to get better.
A woman in active first stage of labor is using a shallow pattern of breathing that is about twice the normal adult breathing rate. She begins to complain of feeling lightheaded and dizzy and states her fingers are tingling. The nurse should:
a. Tell the woman to slow the pace of her breathing. b. Administer oxygen via mask or nasal cannula. c. Notify the health care provider. d. Help her breathe into a paper bag or her cupped hands.
A mother calls the pediatric nurse. Her child who is in day care has experienced chronic diarrhea that is watery, greasy, and foul smelling. The child complains of stomachache, has flatulence, and is losing weight
Another child in the day care has the same symptoms, and the mother also has some of these symptoms. The pediatric nurse will suspect which of the following causes of the problem? a. poor diet c. pinforms b. food poisoning d. giardiasis