The nurse is assessing the client. The client is irritable, anxious, and has lost 12 pounds over the last 2 months. The client's eyes appear to bulge from their sockets
Which of the following pieces of information does the nurse expect to find during the assessment of this client? Standard Text: Select all that apply. 1. Blood pressure: 162/92
2. Apical pulse: 120
3. Respiratory rate: 11
4. Pupils: constricted
5. Client complains of feeling very warm.
1,2,5
Rationale 1: Blood pressure: 162/92. When the sympathetic nervous system is stimulated due to hyperthyroidism, the client's blood pressure will increase. This blood pressure is increased.
Rationale 2: Apical pulse: 120. When the sympathetic nervous system is stimulated due to hyperthyroidism, the client's heart rate will increase. A normal heart rate for an adult client is 60–100 beats per minute.
Rationale 3: Respiratory rate: 11. The client with hyperthyroidism will demonstrate an increased respiratory rate. A normal respiratory rate is 12–20 per minute.
Rationale 4: Pupils: constricted. The client with hyperthyroidism will demonstrate pupil dilation.
Rationale 5: Client complains of feeling very warm. When the sympathetic nervous system is stimulated due to hyperthyroidism, the client's body temperature will increase.
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