Exam 1 Case Study with 100% complete solutions 2024

The patient is a 29-year-old woman who comes to the emergency department with a history of diaphoresis, unplanned weight loss despite increased appetite, and palpitations. Assessment reveals a wide-eyed look, a small thyroid mass, and vital signs including blood pressure (BP) 148/92, heart rate (HR) 104 beats/minute, temperature 98.4°F (36.9°C), and respiratory rate (RR) 24 breaths/minute. Her history includes decreased menstrual flow, increased fatigue, and weakness. *Which nursing concept will the nurse use to interpret data and plan care for this patient?* A.Safety B.Hormonal regulation C.Perfusion D.Cellular regulation correct answersANS: B Focus: Prioritization The thyroid gland produces thyroid hormones (T3 and T4) which are important in control of metabolism. Both hormones increase metabolism. Weight loss, diaphoresis (heat intolerance), palpitations, exophthalmos (wide-eyed, startled look), presence of goiter (thyroid mass), decreased menstrual, as well and increased BP, HR, and RR are all classic manifestations of hyperthyroidism. A patient with hypothyroidism would present with the opposite picture such as weight gain, cold intolerance, bradycardia, hypotension, and decreased respiratory function. What lab values would support the diagnosis of hyperthyroidism? *(Select all that apply.)* A.Increased T3 and T4 B.Decreased T3 and T4 C.Increased thyroid-stimulating hormone (TSH) D.Decreased TSH E.Thyroid antibodies—high titer F.Thyroid scan—increased uptake of radioactive iodine (RAI) correct answersANS: A, D, E, F