The nurse is conducting a class about the symptoms of hypothyroidism to a group of elderly clients at a senior center. The nurse includes symptoms of hypothyroidism for this group for which of the following reasons?
1. Hypothyroidism in the elderly is a congenital disease.
2. Symptoms in the elderly are often confused with symptoms of aging.
3. Thyroid hormone is often increased in the elderly.
4. The elderly client presents with pitting edema.
2. Symptoms in the elderly are often confused with symptoms of aging.
Rationale:
The risk with elderly clients is that the diagnosis of hypothyroidism can be missed as symptoms of aging may mask those of the disease. Not all hypothyroidism is congenital, and it is inaccurate to state that older clients develop the disease due to congenital defects. Thyroid hormone is decreased in all clients with hypothyroidism. The adult client will present with nonpitting edema.
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