Author Question: The family of an older patient with hypothyroidism is concerned about the open wounds on the ... (Read 145 times)

newbem · **on:** Jun 25, 2018

The family of an older patient with hypothyroidism is concerned about the open wounds on the patient's legs and arms. How should the nurse respond to the family's questions about bathing?

1. Use warm water to bathe the patient.
2. Make sure she has a daily bath.
3. Use firm, consistent strokes when bathing.
4. Follow the bath with a rubbing-alcohol massage.

Question 2

A patient whose thyroid gland produces an insufficient amount of thyroid hormone is concerned about an elevated cholesterol level. What should the nurse explain to this patient?

1. The thyroid gland malfunction can affect your cholesterol level.
2. Maybe you don't realize how much fat is in the foods you eat.
3. Elevated cholesterol is a normal part of aging.
4. Describe your typical bedtime snack.

Anonymous · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The patient with hypothyroidism has dry skin and edema, which increase the risk of skin breakdown. Hot water, rough massage, and the use of alcohol-based products increase skin dryness. The patient should bathe only when necessary, with warm, not hot, water. Gentle motions should be used. Alcohol-free oils and lotions should be used.

Answer to Question 2

Correct Answer: 1
Deficient amounts of thyroid hormone can cause abnormalities in lipid metabolism, with elevated serum cholesterol and triglyceride levels. As a result, the patient is at increased risk for atherosclerosis and cardiac disorders. The nurse should not make assumptions about the patient's dietary intake. Comments about aging and eating at bedtime are not therapeutic.