NU272 HESI Case Study: Thyroid Disorders (week 4)
Questions with Answers (100% Correct Answers)
Meet the Client
Ans: The client works full time as a high school math teacher. She is currently working
on a specialist degree, taking night classes at one of the local colleges. She noticed that
she is more sluggish than normal. She doesn't have the energy for girls' nights out
anymore, and for the past 4 months, she has not attended her exercise classes. The
client gained 10 pounds in the past 4 to 6 months. Her friends say she acts depressed
and encouraged her to see a healthcare provider (HCP) so she makes an appointment
with the HCP.
The client's presenting vital signs:
Temperature: 96.0° F (36.0° C)
Pulse: 52 beats/minute
Respirations: 18 breaths/minute
Blood pressure: 140/80 mmHg
Given the initial history and vital signs, what other questions should the nurse ask?
(Select all that apply. One, some, or all options may be correct.)
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, 2
Ans: "Have you had any changes in your bowel habits?"
"Do you still feel sleepy when you wake up in the mornings despite getting a good
night's sleep?"
"Have you noticed any changes in your hair or nails?"
-
Hypothyroidism can cause constipation.Hypothyroidism can cause sleep
disturbances.Hypothyroidism can cause hair loss and brittle nails.
Diagnostic Tests
Ans: The client is scheduled for a radioactive iodine uptake test. This test is used to
measure the rate of iodine uptake by the thyroid gland. She is also scheduled for a
thyroid scan.
The client has signed the consent for the radioactive iodine uptake test. What are the
most important assessments for the nurse to obtain prior to the test? (Select all that
apply. One, some, or all options may be correct.)
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