Fatigue | Nursing Care Plan for Hyperthyroidism

Nursing diagnosis: Fatigue related to Hypermetabolic state with increased energy requirements, Irritability of central nervous system (CNS), altered body chemistry

Possibly evidenced by
Verbalization of overwhelming lack of energy to maintain usual routine, decreased performance
Emotional lability and irritability; nervousness, tension
Jittery behavior
Impaired ability to concentrate

Desired Outcomes/Evaluation Criteria—Client Will
Endurance
Verbalize increase in level of energy.
Display improved ability to participate in desired activities.

Nursing intervention with rationale:
1. Monitor vital signs, noting pulse rate at rest and when active.
Rationale: Pulse is typically elevated, and even at rest tachycardia up to160 beats per minute may be noted.

2. Note development of tachypnea, dyspnea, pallor, and cyanosis.
Rationale: O2 demand and consumption are increased in hypermetabolic state, potentiating risk of hypoxia with activity.

3. Provide quiet environment, cool room, decreased sensory stimuli, soothing colors, and quiet music.
Rationale: Reduces stimuli that may aggravate agitation, hyperactivity, and insomnia.

4. Encourage client to restrict activity and rest in bed as much as possible.
Rationale: Helps counteract effects of increased metabolism.

5. Provide comfort measures—judicious touch and massage and cool showers.
Rationale: May decrease nervous energy, promoting relaxation.

6. Provide for calming diversional activities—reading, radio, and television.
Rationale: Allows for use of nervous energy in a constructive manner, serves as a distraction, and may reduce anxiety.

7. Avoid topics that irritate or upset client. Discuss ways to respond to these feelings.
Rationale: Increased irritability of the CNS may cause client to be easily excited, agitated, and prone to emotional outbursts.

8. Discuss with SO reasons for fatigue and emotional lability.
Rationale: Understanding that the behavior is physically based may enhance coping with current situation and encourage SO to respond positively and provide support for client.

9. Administer medications, as indicated, such as sedatives and anti-anxiety agents.
Rationale: May be prescribed to help combat nervousness, hyperactivity, and insomnia.