The nurse is performing an admission assessment on an older patient with type 2 diabetes mellitus. Which assessment data is a risk factor for hypothyroidism? Select all that apply.
1. Taking oral furosemide (Lasix) for hypertension
2. Medical history of non-thyroid autoimmunity
3. Previous external radiation for neck cancer
4. Taking acetaminophen (Tylenol) routinely for arthritis pain
5. Compliance with 1800 calorie American Diabetes Association (ADA) diet
1. Taking oral furosemide (Lasix) for hypertension
2. Medical history of non-thyroid autoimmunity
3. Previous external radiation for neck cancer
Explanation: 1. Risk factors for the development of hypothyroidism include certain medications such as furosemide (Lasix).
2. Risk factors for the development of hypothyroidism include the diagnosis of non-thyroid autoimmune disease.
3. Risk factors for the development of hypothyroidism include treatment of neck cancer with external radiation.
4. Over-the-counter acetaminophen (Tylenol) does not increase the patient's risk for developing hypothyroidism.
5. The diagnosis of type 2 diabetes mellitus that is diet controlled does not increase the patient's risk for developing hypothyroidism.
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