- ADLs
- Bathing
- Grooming
- Dressing
- Tioleting
- Ambulating
Delegation to Assistive Personal - Feeding (without swallowing precautions)
- Positioning
- Rountine Tasks
- Bed making
- Specimen collection
- I&O
- Vital Signs ( for stable clients )
- Monitor for low Bp & bradycardia
- Monitor for chest pain & peripheral edema
- Monitor clients weight
- reorient the client if confusion occurs
- provide frequent rest periods to avoid fatigue & decrease myocardial oxygen
demands
- Monitor respiratory status
- encourage client to cough and breathe deeply to prevent pulmonary complications
Planning Care for a Client Who Has
- low calorie, high fiber diet , & encourage fluids to prevent constipation and promote
Hypothyroidism
weight loss
- Administer cathartics and stool softeners as needed. (Avoid fiber laxatives, interfere
with absorption of levothyroxine)
- Provide extra clothing and blankets for clients who have decreased cold intolerance
- caution use of electric blankets
- Encourage verbalization of feelings and fears about body changes
- Reassure client that most physical manifestations are reversible
- use caution with CNS depressants (barbiturates or sedatives)
1/14
, 8/8/24, 9:23 AM
- Fatigue/ lethargy
- irritability
- intolerance to cold
- constipation
- weight gain
- pallor
- think brittle fingernails
- depression & apathy
- joint or muscle pain
- bradycardia, hypotension, dysrhythmias
Signs of hypothyroidism
- slow thought process & speech
- hypoventilation & pleural effusion
- thickening of the skin
- hair loss
- thickening of hair on eyebrows
- dry flaky skin
- decreased acuity of taste
- impotence
- abnormal menstrual periods (menorrhagia/ amenorrhea)
- delayed physical and mental growth in children
Medication for hypothyroidism levothyroxin (synthetic thyroid hormone replacement)
- females 30 to 60 years of age
- use of lithium & amiodarone medications
Risk factors for hypothyroidism
- Inadequate intake of iodine
- Radiation Therapy the head and neck
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