lOMoAR cPSD| 28505380
NCLEX RN 121 Htyrd make up Hyperthyroid case
study 121 A
INSTRUCTIONS All questions apply to this case study. Your responses should be brief
and to the point. When asked to provide several answers, list them in order of priority or
significance. Do not assume information that is not provided. Please print or write
clearly. If your response is not legible, it will be marked as ? and you will need to rewrite
it.
Scenario
You are working in a community outpatient clinic where you perform the intake
assessment on R.M., a 38-year-old woman who is attending graduate school and is very
sedentary. Her chief complaint is overwhelming fatigue that is not relieved by rest. She
is so exhausted that she has difficulty walking to classes and trouble concentrating when
studying. She reports a recent weight gain of 15 pounds over 2 months without clear
changes in her dietary habits. Her face looks puffy, she has experienced excessive hair
loss, and her skin is dry and pale. She complains of generalized body aches and pains
with frequent muscle cramps and constipation. You notice she is dressed
inappropriately warm for the weather.
Chart View
Vital Signs
Blood pressure 142/84 mm Hg
Heart rate 52 beats/min
Respiratory rate 12 breaths/min
Temperature 96.8 ° F (36 ° C)
1. Compare her VS with those of a healthy person at her same age.
R.M vitals
BP 142/84 (Normal 120/80)
HR 52 (Normal 60-100)
RR12 (Normal 10-20)
Temp 96.8 (Normal 97-99)
2. List eight general questions you might ask R.M. to assist in determining what is
going on with her.
-Do you take any other medications or over the counter meds, or herbal supplements?
-Do you have any medical history I should be aware of, like any hypertension?
-Are you feeling okay, any symptoms of depression, have you noticed any changes?
-Do you do any physical activity and how often?
-What does your physical activity normally look like?
-What does your diet normally look like?
-What does a typical day look like for you?
-When did you notice your symptoms started?
, lOMoAR cPSD| 28505380
Does anyone in your family have a history thyroid issues?
NCLEX RN 121 Htyrd make up Hyperthyroid case
study 121 A
INSTRUCTIONS All questions apply to this case study. Your responses should be brief
and to the point. When asked to provide several answers, list them in order of priority or
significance. Do not assume information that is not provided. Please print or write
clearly. If your response is not legible, it will be marked as ? and you will need to rewrite
it.
Scenario
You are working in a community outpatient clinic where you perform the intake
assessment on R.M., a 38-year-old woman who is attending graduate school and is very
sedentary. Her chief complaint is overwhelming fatigue that is not relieved by rest. She
is so exhausted that she has difficulty walking to classes and trouble concentrating when
studying. She reports a recent weight gain of 15 pounds over 2 months without clear
changes in her dietary habits. Her face looks puffy, she has experienced excessive hair
loss, and her skin is dry and pale. She complains of generalized body aches and pains
with frequent muscle cramps and constipation. You notice she is dressed
inappropriately warm for the weather.
Chart View
Vital Signs
Blood pressure 142/84 mm Hg
Heart rate 52 beats/min
Respiratory rate 12 breaths/min
Temperature 96.8 ° F (36 ° C)
1. Compare her VS with those of a healthy person at her same age.
R.M vitals
BP 142/84 (Normal 120/80)
HR 52 (Normal 60-100)
RR12 (Normal 10-20)
Temp 96.8 (Normal 97-99)
2. List eight general questions you might ask R.M. to assist in determining what is
going on with her.
-Do you take any other medications or over the counter meds, or herbal supplements?
-Do you have any medical history I should be aware of, like any hypertension?
-Are you feeling okay, any symptoms of depression, have you noticed any changes?
-Do you do any physical activity and how often?
-What does your physical activity normally look like?
-What does your diet normally look like?
-What does a typical day look like for you?
-When did you notice your symptoms started?
, lOMoAR cPSD| 28505380
Does anyone in your family have a history thyroid issues?
