You are working in a community outpatient clinic where you perform the intake assessment on R.M., a 38-year-old woman who is attending graduate school and is very sedentary. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain 15 pounds over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She complains of generalized body aches and pains with frequent muscle cramps and constipation. You notice she is dressed inappropriately warmly for the weather. Chart View Vital Signs (VS) Blood Pressure 112/79 mm Hg Heart Rate 52 beats/min Respiratory Rate 15 breaths/min Temperature 96.8oF (36oC)   1. Before answering this question, review the client’s chart and scenario. Identify the information from the focused assessment that the nurse finds abnormal. Focused findings include.  2. You know that these two hormones, are directly secreted by the thyroid glands, which are stimulated by the . 3. R.M.’s TSH level is elevated at 4.3. The suspected indication of this level is low T3 and T4. The patient is diagnosed with what thyroid disease?

Which assessment data would make the nurse suspect that a client has Amyotrophic  Lateral Sclerosis (ALS)?

Which neurotransmitter is depleted in clients with Parkinson’s disease?

A thrust fault is best described as ________.

It is estimated that ________ is responsible for about two-thirds of the soil erosion in the United States.

A low lying, coral limestone island with a central lagoon is called a(n) ________.

________ is typically formed by metamorphism of a sandstone.

Water depths and seafloor topography are now routinely determined by ________.

Which of the following statements most accurately describes the influences on soil formation?

Half Dome in Yosemite National Park is a good example of ________.