The nurse is contributing to the teaching plan for a patient diagnosed with Hashimoto's thyroiditis who has progressed to hypothyroidism with a goiter. Which of the following self-care instructions should the nurse recommend?
(Select all that apply.)
a. Eat a soft diet.
b. During low-energy periods, use antiembolism stockings.
c. Eat a high-carbohydrate, high-protein diet.
d. Increase activity slowly.
e. Keep home at a cool temperature.
f. Eat more foods high in iodine.
ANS: A, B, D
A, B, D. If the patient has a goiter, a soft diet may be necessary for comfort. Frequent rest periods may be necessary as well as slowly increasing patient activity. Antiembolic stockings may help prevent venous stasis during the low-energy, decreased-activity phase. C. During the hyperthyroidism phase, a diet high in protein and carbohydrates encourages weight gain. E. The patient will be sensitive to cold, so room temperature will need to be increased for comfort. F. Foods high in iodine should be avoided.
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