Final answer:
A nurse should expect a client with hypothyroidism to present with constipation as it's a symptom of reduced metabolic processes associated with the condition. Symptoms such as insomnia, tachycardia, and diaphoresis are indicative of hyperthyroidism. Managing hypothyroidism typically involves thyroid hormone replacement therapy.
Step-by-step explanation:
When caring for a client who has hypothyroidism, the nurse should expect to see specific manifestations related to the underactive thyroid gland. Constipation is one of such symptoms due to reduced metabolic processes and slowed bodily functions typical of hypothyroidism. The other options, such as insomnia, tachycardia, and diaphoresis, are more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Symptoms of hypothyroidism often include fatigue, weight gain, cold intolerance, and bradycardia (slow heart rate), much different from symptoms of an overactive thyroid.
Hypothyroidism can also lead to goiter when caused by iodine deficiency, which is the inability of the thyroid gland to form thyroid hormones T3 and T4, further exacerbating symptoms like weight gain, cold sensitivity and reduced mental activity. Furthermore, hypothyroidism requires management with thyroid hormone replacement therapy and can have serious adverse effects if not treated, particularly during pregnancy.