HESI Registered Nurse EXIT Practice Exam

What assessment finding would a nurse anticipate in a client with low T3 and T4 levels and elevated TSH?

1. Lethargy

2. Heat intolerance

3. Diarrhea

4. Skin eruptions

The correct answer is: Lethargy

In the context of low T3 and T4 levels alongside elevated TSH, the condition is indicative of hypothyroidism. In hypothyroidism, the thyroid gland is not producing sufficient thyroid hormones (T3 and T4), which are crucial for regulating metabolism and energy levels in the body. As a compensatory mechanism, the pituitary gland increases the production of thyroid-stimulating hormone (TSH) in an attempt to stimulate the thyroid gland to produce more thyroid hormones. Lethargy is a common symptom associated with hypothyroidism due to the metabolic slowdown caused by low levels of thyroid hormones. Patients often experience a lack of energy, fatigue, and an overall sense of being sluggish. This is directly linked to the diminished metabolic rate that results from insufficient thyroid hormone production. In contrast, heat intolerance and diarrhea are typically associated with hyperthyroidism, which is characterized by excess levels of T3 and T4 and a low TSH due to feedback inhibition. Skin eruptions may be more related to other dermatological issues or conditions rather than thyroid function directly. Thus, lethargy aligns correctly with the anticipated assessment findings in this scenario.