Your patient is a 72-year-old male patient who is conscious…

Your patient is a 72-year-old male patient who is conscious but slow to respond to s and commands. He has become increasingly lethargic, unemotional, and easily fatigued over the past two months. He has had a decreased appetite and has gained weight over the same period. The patient further states, “I’m constipated and always cold.” Which of the following additional signs or symptoms would be consistent with this patient presentation?

Your patient is a 72-year-old male who is conscious but leth…

Your patient is a 72-year-old male who is conscious but lethargic and sitting in a chair. His son states that the patient has been a bit slow lately and has been gaining weight. The medical history includes hypothyroidism and myocardial infarction. The patient has been compliant with his Synthroid and has nitroglycerin for use as needed. The patient responds to verbal stimuli, is confused, has a large tongue, and pale, cold, doughy skin. His only complaint is constipation. HR = 60 and regular, BP = 112/80, RR = 10 and shallow, SaO2 = 92%, temperature = 88°F, blood glucose = 180 mg/dl. Your treatment of this patient should include: