A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?
Explanation & Rationale
Hyperthyroidism is endocrine disorder characterized by excess thyroid hormone (T3/T4) causing increased metabolic rate and sympathetic overactivity leading to weight loss heat intolerance tachycardia anxiety diarrhea tremor clinical picture Rationale: A. Weight gain reflects reduced metabolic rate typical of hypothyroidism. This condition is not associated with hyperthyroid state. Weight gain and fluid retention occur due to low thyroid hormone levels. Findings contradict hyperthyroidism which usually causes weight loss and catabolism state. hypothyroidism B. Constipation is more consistent with decreased gastrointestinal motility in hypothyroidism. Hyperthyroidism increases gut motility leading to frequent bowel movements. Constipation results from reduced metabolic activity and hypothyroidism state. This clinical presentation does not match excess thyroid hormone effects seen clinically present. C. Frequent mood changes are characteristic of increased adrenergic stimulation in hyperthyroidism. Excess thyroid hormone sensitizes beta receptors causing irritability and anxiety. Mood changes occur due to CNS hyperexcitability in hyperthyroidism state. Findings reflect sympathetic overdrive in thyroid excess state present. D. Sensitivity to cold indicates reduced thermogenesis seen in hypothyroidism. Hyperthyroid patients typically experience heat intolerance instead. Cold sensitivity is a hallmark of hypothyroidism due to low metabolic rate. This option contradicts clinical presentation of increased thyroid hormone excess state findings.