Diagnosis of hypothyroidism

Genevieve is a 45-year-old woman with three children who works part-time and has recently returned. nursing school. She has sought care from her primary care provider. While taking a health history, Genevieve tells the nurse that she has noticed that she is feeling very tired, is cold all of the time, and has gained 15 pounds without a change in eating habits. Genevieve’s provider performs an assessment, noting that she has cool skin, brittle nails, coarse and dry hair: slight abdominal distension, and poor wound healing on an older cut The provider orders laboratory work. Laboratory results indicate a decreased T2​ and Ta ​high level of Thyroid-stimulating hormone(TSH). Genevieve is diagnosed with hypothyroidism, and placed on levothyroxine (Synthroid)

1. What other five could accompany hypothyroidism?  Which laboratory tests would assist in confirming a diagnosis of hypothyroidism?

2. What priority concerns should the nurse identify?

3. Write 1 appropriate nursing diagnosis outcome minimum of three interventions with rationale and evaluation.