An older adult client has been given instructions concerning an endocrine assessment the nurse will be conducting. Which statement made by the client would indicate to the nurse that further instruction is necessary?
1. "Because of my age, they'll be checking for hyperthyroidism.".
2. "I'll be sure to let the nurse know that diabetes runs in my family.".
3. "The nurse will look at my skin, nails, and hair.".
4. "I'll be asked to swallow when my thyroid gland is being checked.".
"Because of my age, they'll be checking for hyperthyroidism.".
Rationale: Relative to the aging population, the most frequent sign of hormonal imbalance is hypothyroidism. Diabetes mellitus is an endocrine disorder that appears to have some degree of family connection, so the client is correct in providing this information. The endocrine assessment does include inspection of the skin, nails, and hair, as well as palpation of the thyroid while asking the client to swallow.
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