The nurse is performing an assessment on a client with a diagnosis of myxedema (hypothyroidism). Which assessment finding should the nurse expect to note in this client?

A. Bulging eyeballs: Bulging eyeballs (exophthalmos) is typically associated with hyperthyroidism, particularly in Graves' disease, not hypothyroidism. In myxedema (severe hypothyroidism), eye changes are not characterized by bulging. B. Thin silky hair: Hypothyroidism is more likely to cause dry, coarse hair, not thin or silky hair. Hair thinning is common, but it tends to become more brittle and coarse in hypothyroidism. C. Fine muscle tremors: Fine muscle tremors are more characteristic of hyperthyroidism. In hypothyroidism, the muscle tone is often reduced, and some patients may experience muscle weakness or cramping, rather than fine tremors. D. Periorbital edema: Periorbital edema (swelling around the eyes) is a common finding in myxedema and hypothyroidism. It is due to the accumulation of mucopolysaccharides and water in the tissues, which is a hallmark of severe, untreated hypothyroidism.