The nurse is caring for a patient diagnosed with hyperthyroidism. Which signs and symptoms indicate hyperthyroidism? (Select all that apply.)
a. Atrial fibrillation c. Constipation
b. Heart failure d. Heat intolerance
A, B, C
Compared with hypothyroidism, the onset of hyperthyroidism may be quite sudden. The signs and symptoms in the older adult include unexplained atrial fibrillation, heart failure, constipation, anorexia, muscle weakness, and other vague complaints. Symptoms of heart failure or angina may cloud the clinical presentation and prevent the correct diagnosis. The person may be mis-diagnosed as being depressed or having dementia. On examination, the person is likely to have tachycardia, tremors, and weight loss. Heat intolerance is attributed to hyperthyroidism.
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