Author Question: What assessment findings support a diagnosis of hyperthyroidism in the older adult? (Select all that ... (Read 47 times)

Mr3Hunna · **on:** Jul 11, 2018

What assessment findings support a diagnosis of hyperthyroidism in the older adult? (Select all that apply.)

a. Tremors
b. Heat intolerance
c. Tachycardia
d. Palpable goiter
e. Atrial fibrillation

Question 2

A patient has pernicious anemi

a. What action by the patient and family indicates teaching for this condition has been effective?
a. Proper administration of oral vitamin B12
b. Correct technique for intramuscular (IM) injections
c. Choosing aspirin over ibuprofen (Motrin) for pain
d. Preparing a low-carbohydrate meal

swimkari · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, D, E
The classic geriatric presentation of hyperthyroidism includes tachycardia, fatigue, tremors, and nervousness in contrast to tachycardia, heat intolerance, and fatigue in younger patients. An en-larged, palpable goiter is present in 60 of older adults with hyperthyroidism. The most common complication, occurring in 27 of geriatric hyperthyroid patients, is atrial fibrillation that does not convert back to sinus rhythm when a euthyroid state has been achieved.

Answer to Question 2

B
Pernicious anemia is typically treated with IM injections of vitamin B12 . Oral preparations are not absorbed in the gastrointestinal tract. Aspirin or ibuprofen are not related, nor is a low car-bohydrate diet.