Difficulty: Medium
Average Score: 95%
Simulated
A client describes a 3-week history of hoarseness. The client also reports feeling fatigue and noticeable weight gain over the past month. Which cause should the nurse consider as most likely?
Correct answer
A
Rationale
The correct answer is A: Hypothyroidism. Hoarseness, fatigue, and weight gain are classic symptoms of hypothyroidism due to decreased thyroid hormone levels. Thyroid hormones play a crucial role in regulating metabolism and energy levels. Hoarseness can occur due to vocal cord changes from thyroid hormone imbalances. Gingivitis (B) is inflammation of the gums, unrelated to the symptoms described. Aphthous ulcers (C) are painful sores in the mouth, not associated with the reported symptoms. Dysphagia (D) is difficulty swallowing, which is not consistent with the client's presentation.