Case #1 ResponseList 5 special considerations of the geriatric patient.oMost older adults take numerous medications for various chronic conditions, which often produce or disrupt metabolic balance. oThyroid disease presents differently in older patients, with fewer signs of hyperactivity, but pronounced changes in mental status, which can be reflected as apathy, depression, and emaciation. oAtrial fibrillation is common in patients with thyroid disease, especially older patients. oThe incidence of diabetes increases with age. oThe thyroid in older patients may become fibrotic, causing it to feel more nodular or irregular upon palpation. (Rhoads & Petersen, 2018, p. 354)What laboratory testing would you order for either of these patients and why?oThyroid-Stimulating Hormone (TSH) – it is believed that circulating level of TSH is the single most sensitive test of thyroid function (Rhoads & Petersen, 2018, p. 351). Decreased levels of TSH are found in patients with Graves’ disease and toxic nodular goiter (Rhoads & Petersen, 2018, p. 351). Increased levels of TSH are found in patients with primary hypothyroidism and thyrotoxicosis due to pituitary tumor (Rhoads & Petersen, 2018, p. 351).