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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 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 warmly for the weather. Chart View Vital Signs (VS) Blood Pressure 112/79 mm Hg Heart Rate 52 beats/min Respiratory Rate 15 breaths/min Temperature 96.8oF (36oC)   1. Before answering this question, review the client’s chart and scenario. Identify the information from the focused assessment that the nurse finds abnormal. Focused findings include.  2. You know that these two hormones, are directly secreted by the thyroid glands, which are stimulated by the . 3. R.M.’s TSH level is elevated at 4.3. The suspected indication of this level is low T3 and T4. The patient is diagnosed with what thyroid disease?

Match the Endocrine mechanism problems with the definition, patho, symptoms, or treatments.

GLASGOW COMA SCALE Infant, flexes its elbow and wrist in response to pain. The infant does not make any response to others around, and does not open its eyes at all.

While reviewing the magnetic resonance imaging (MRI) reports of the brain of an elderly client, the nurse reads the findings as: accumulation of neurofibrillary tangles, senile plaques, and cerebrocortical atrophy of the brain. Upon communicating with the client, the nurse also finds that the client has problems related to memory. What does the nurse gather from these findings?

In stage 1, which of the following is true about increased intracranial pressure.

A nurse is assisting with caloric testing of the oculovestibular reflex of an unconscious client. Cold water is injected into the left auditory canal. The client exhibits both eyes move towards the left. What does this indicate?

Which of the following symptoms are present in hyperglycemia?

The nurse is reviewing laboratory results for the clinic patients to be seen today. Which patient meets the diagnostic criteria for diabetes mellitus?

A nurse is teaching a wellness class and is covering the warning signs of stroke. A patient asks, “What are the most important things for me to remember?” Which is an appropriate response by the nurse? (Select all that apply)

GLASGOW COMA SCALE Adult, spontaneously looks around. When you speak to the patient, they can tell you who they are, where they are and why, and the date, and obey simple commands.