A 40-year-old female client has a family history of "thyroid problems" and is being seen by the primary healthcare provider for unintentional weight loss, irritability, and chest discomfort. Her probable diagnosis is hyperthyroidism, which the primary healthcare provider plans to confirm by laboratory testing.

What additional physical assessment findings would the nurse expect to be present in this client?

Select all that apply.

Diaphoresis

Insomnia

Hypotension

Decreased deep tendon reﬂexes.

Constipation

Answer and Explanation

Correct Answer : A,B,E

Answer c is incorrect because hyperthyroidism typically causes hypertension, not hypotension. Answer d is also incorrect because hyperthyroidism typically causes increased, not decreased, deep tendon reﬂexes. Answer f is incorrect because hyperthyroidism typically causes diarrhea, not constipation.

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Correct Answer is A

Explanation

The most helpful finding by the nurse in determining whether a 67-yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis) would be

**costovertebral tenderness**⁴. This is because costovertebral tenderness is a common symptom of pyelonephritis⁵. Pyelonephritis is an infection of the upper urinary tract that can cause fever, chills, ﬂank pain, nausea, vomiting, and costovertebral tenderness⁵. Foul-smelling urine and bladder distention are not specific symptoms of pyelonephritis⁵. Suprapubic discomfort can be a symptom of lower urinary tract infection⁵.

A. captopril B. acetaminophen C. amiodarone D. aspirin F. propylthiouracil

Correct Answer is ["B","E","F"]

Explanation

The other options are not typically used in the treatment of thyroid storm. Captopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and congestive heart failure, amiodarone is an antiarrhythmic drug used for cardiac arrhythmias, and aspirin is a nonsteroidal anti-inﬂammatory drug (NSAID) used for pain relief and fever reduction.

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Naxlex Comprehensive Predictor Exams

Which finding by the nurse will be most helpful in determining whether a 67- yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis)?

Correct Answer is A

Explanation

A patient with severe tachycardia. hyperthermia and agitation are admitted for acute thyrotoxicosis (thyroid storm). The nurse will anticipate the need to administer which of the following medications? Select all that apply.

Correct Answer is ["B","E","F"]

Explanation

Which action by the patient who is self-monitoring blood glucose indicates a need for additional teaching?

A 40-year-old woman had a total thyroidectomy for hyperthyroidism after medical management was not successful. The nurse is preparing to teach the client about her thyroid hormone replacement (levothyroxine). Which health teaching will the nurse include about this drug? Select all that apply.

A patient with diabetic ketoacidosis is brought to the emergency department. Which prescribed action should the nurse implement first?

A 46-year-old female patient presents to the emergency department with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 83/44 mm Hg. pulse oximetry 98%. and T 98.8 F oral. Which nursing intervention is the highest priority for this patient?

Which finding indicates to the nurse that the current therapies are eﬀective for patient with acute adrenal insufficiency (Addison's)?

What is the rational for IV ﬂuids in a patient with a UT!?

A patient calls the clinic to report a new onset of severe diarrhea. What should the nurse anticipate that the patient will need to do?

Which clinical manifestation should the nurse anticipate for a patient admited to the hospital with diabetes insipidus?