A client has a history of hypothyroidism. Which condition would the nurse expect the skin to be in when performing a physical assessment? Dry Moist Flushed Smooth
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The Deep Dive
In clients with hypothyroidism, the skin often presents as dry and coarse. This is due to reduced metabolic activity and a slowed turnover of skin cells, leading to dehydration and a lack of natural oil production. So, when the nurse assesses the skin, it's common to find it rough and flaky, which can make the patient feel self-conscious. Additionally, hypothyroid patients may also experience other skin changes such as puffy or swollen skin due to fluid retention, particularly around the eyes. This can create a distinct appearance that might concern both the patient and healthcare providers, making a thorough assessment crucial for overall management and care.