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Genevieve is a 45-year-old woman with three children who works part-time and has recently returned to nursing school.

Complete the following case study. 10% deduction for no reference and 10% deduction for copy and paste.

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Genevieve is a 45-year-old woman with three children who works part-time and has recently returned to nursing school. She has sought care from her primary care provider. While taking a health history, Genevieve tells the nurse that she has noticed that she is feeling very tired, is cold all of the time, and has gained 15 pounds without a change in eating habits.

What other symptoms could accompany hypothyroidism?

Genevieve’s provider performs an assessment, noting that she has cool skin, brittle nails, coarse and dry hair, slight abdominal distension, and poor wound healing on an older cut. The provider orders laboratory work.

Which laboratory tests would assist in confirming a diagnosis of hypothyroidism?

Laboratory results indicate a decreased T3 and T4, and a high level of TSH. Genevieve is diagnosed with hypothyroidism and placed on levothyroxine (Synthroid).

What priority concerns should the nurse identify?

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