The nurse is planning care for a client with hypothyroidism. Which of the following would be the priority nursing diagnosis for this client?
1. Risk for constipation related to metabolic imbalance
2. Activity intolerance related to fatigue
3. Risk for injury related to confusion and lethargy
4. Altered nutrition, less than body requirements
2
Rationale 1: While confusion, lethargy, and constipation are commonly associated with hypothyroidism, these are conditions that are not present according to the nursing diagnosis statement and therefore do not carry the same priority as those that are actually present.
Rationale 2: Feeling tired, exhausted, and not having enough energy to perform even small tasks is a typical complaint from clients suffering from hypothyroidism.
Rationale 3: While confusion, lethargy, and constipation are commonly associated with hypothyroidism, these are conditions that are not present according to the nursing diagnosis statement and therefore do not carry the same priority as those that are actually present.
Rationale 4: Typically, the client with hypothyroidism, though he may not have an appetite, may be gaining weight.
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Answer the following statement true (T) or false (F)