護理師照顧一位有甲狀腺功能低下病史的病人，預期會評估到哪些症狀？（選所有適合的）
A nurse is caring for a client with a history of hypothyroidism. Which symptoms would the nurse expect to assess? (Select all that apply.)
- AWeight gain✓ 正解體重增加
- BBradycardia✓ 正解心動過緩
- CHeat intolerance不耐熱
- DConstipation✓ 正解便秘
- EDry skin✓ 正解皮膚乾燥
甲狀腺功能低下（Hypothyroidism）導致全身代謝率下降。甲狀腺素（T3/T4）不足會影響身體的所有代謝過程。臨床表現為能量產生不足、交感神經活性降低與腸胃蠕動減緩。護理師在照護此類病人時，需特別注意保暖、皮膚護理與便秘預防，同時密切監測心律，因為嚴重的甲狀腺低下可能導致黏液水腫昏迷（Myxedema coma）。
Hypothyroidism causes a generalized decrease in metabolic rate. Insufficient thyroid hormones (T3/T4) affect every metabolic process in the body, manifesting as inadequate energy production, decreased sympathetic activity, and slowed gastrointestinal motility. When caring for these clients, the nurse must pay particular attention to warmth, skin care, and constipation prevention, while closely monitoring cardiac rhythm, because severe hypothyroidism can progress to myxedema coma.