A client is being evaluated for hypothyroidism. During assessment, the nurse should stay alert for which of the following signs or symptoms?

• A. Tremors and anxiety
• B. Increased heart rate and sweating
• C. Fatigue and weight gain
• D. Exophthalmos and heat intolerance

Answer: (C)

Verified step by step guidance

1. Understand the condition: Hypothyroidism is a condition where the thyroid gland produces insufficient thyroid hormones, leading to a slowing down of metabolic processes in the body.
2. Identify the symptoms associated with hypothyroidism: Common signs include fatigue, weight gain, cold intolerance, dry skin, hair thinning, constipation, and depression. These symptoms are due to the reduced metabolic rate.
3. Differentiate hypothyroidism from hyperthyroidism: Hyperthyroidism involves excessive thyroid hormone production, leading to symptoms such as tremors, anxiety, increased heart rate, sweating, heat intolerance, and exophthalmos (bulging eyes). These are opposite to hypothyroidism symptoms.
4. Focus on the correct symptoms: Fatigue and weight gain are hallmark signs of hypothyroidism. These occur because the body's metabolism slows down, leading to reduced energy levels and accumulation of weight.
5. Apply clinical reasoning: During assessment, the nurse should prioritize identifying symptoms consistent with hypothyroidism, such as fatigue and weight gain, while ruling out symptoms like tremors, anxiety, increased heart rate, sweating, and exophthalmos, which are indicative of hyperthyroidism.