[Solved] The Patient, a 45-Year-Old Former School Teacher, Is Residing in a Skilled

Question 7
Essay

The patient, a 45-year-old former school teacher, is residing in a skilled nursing facility to recover from a tibia-fibula fracture that is being managed with an external fixation system. On admission 2 weeks ago, she told you that she felt she was "getting old too fast." She explained that she had gained 54 pounds in the previous 6 months, had no energy, was often constipated, and was always cold. She teared up and said that her ability to concentrate was so bad that not only could she no longer help her high school children with their homework but also that she didn't recognize the step hazard that caused her to fall and break her ankle. Today the nursing assistant assigned to her care reports that the patient's pulse is only 42 beats per minute and that her temperature was 96° F even with two blankets. When you enter her room, she is sleeping and an untouched breakfast tray is on her table. What manifestations of hypothyroidism are in her history and present during this assessment?

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