While assessing a patient with an alteration in thyroid function, ...

[K@]

While assessing a patient with an alteration in thyroid function, the nurse notes smooth, fine hair and warm, dry skin. Which question should the nurse ask this patient?
 
  1. Have you experienced any recent weight loss?
  2. Have you been feeling constipated?
  3. Have you noticed increased bruising?
  4. Have you noticed a change in your skin color?

Question 2

The nurse suspects that a patient is experiencing a response caused by the hormones of the adrenal medulla. What did the nurse assess to come to this conclusion?
 
  Select all that apply.
 
  1. heart rate 112
  2. cold extremities
  3. respiratory rate 24
  4. urine output 10 mL/hr
  5. blood glucose level 142 mg/dL

[macagn]

Answer to Question 1

Correct Answer: 1
The patient with hyperthyroidism can present with dry, warm skin, and the hair may become fine. Weight loss is a symptom of hyperthyroidism. Constipation is a symptom of hypothyroidism or hyperparathyroidism . Increased bruising is a sign of Cushing syndrome. A change in skin color is a sign of Addison disease.

Answer to Question 2

Correct Answer: 1, 2, 3, 5
Hormones secreted by the adrenal medulla stimulate the heart, constrict blood vessels, increase respirations, and increase blood glucose. Hormones secreted by the adrenal medulla do not affect urine output.

[K@]

Excellent

[dyrone]

TYSM