Final answer:
For an 81-year-old client losing weight, the first recommendation is typically more frequent feedings. TSH deficiency can cause weight gain and fatigue because TSH regulates thyroid hormones which control metabolism.
Step-by-step explanation:
Understanding TSH Deficiency and Weight Gain
An 81-year-old client who is losing weight and doesn't appear to be eating much may be experiencing appetite loss or difficulty with feeding. As a nurse, the first recommendation would typically be a. more frequent feedings. This approach is least invasive and focuses on increasing calorie intake by offering smaller, more manageable meals throughout the day.
In contrast, b. tube feedings, c. central parenteral nutrition, and d. peripheral parenteral nutrition are more invasive procedures typically considered when oral intake is inadequate or impossible due to medical conditions.
Regarding the question about Terry's recent weight gain and increased fatigue, a deficiency in thyroid-stimulating hormone (TSH) could lead to hypothyroidism. TSH is produced by the pituitary gland and stimulates the thyroid gland to produce thyroid hormones, which regulate metabolism. If TSH levels are low, the thyroid does not produce enough hormones, slowing metabolism, which could result in weight gain and fatigue.