A client has been newly diagnosed with hypothyroidism.
What symptoms or signs would be expected with this diagnosis? Select all that apply.

Pulse of 126.

Chronic fatigue.

Hypoactive bowel sounds.

Cold intolerance.

Pulse of 54.

Answer and Explanation

Correct Answer : B,C,D

These are some of the common symptoms of hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones. Thyroid hormones regulate the body’s metabolism, temperature and heart rate.

Choice A is wrong because a pulse of 126 is too high for hypothyroidism. Hypothyroidism usually causes a slow heart rate (bradycardia), not a fast one (tachycardia). A normal resting pulse rate for adults is between 60 and 100 beats per minute.

Choice E is wrong because a pulse of 54 is within the normal range for

hypothyroidism. Hypothyroidism can cause a pulse rate lower than 60 beats per minute, but this is not always abnormal. Some people, such as athletes, may have a lower resting pulse rate due to their fitness level.

The normal ranges for thyroid function tests are:

Thyroid-stimulating hormone (TSH): 0.4 to 4.0 milli-international units per liter (mIU/L).
Free thyroxine (T4): 0.8 to 2.8 nanograms per deciliter (ng/dL).
Total triiodothyronine (T3): 80 to 220 ng/dL.

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Correct Answer is D

Explanation

. Document the findings and continue to monitor the wound. This is because a 2-day-old wound that has a crust along the edges, is red and appears slightly swollen is likely in the inflammatory phase of wound healing. This phase is characterized by hemostasis, chemotaxis, and increased vascular permeability, which can

cause redness and swelling. The crust along the edges is formed by the clotting of blood and platelets.

These are normal signs of wound healing and do not indicate infection or complications.

Choice A is wrong because applying warm soaks to reduce inflammation can interfere with the natural process of wound healing and increase the risk of infection.

Choice B is wrong because notifying the health care provider immediately of the infection is not necessary unless there are other signs of infection such as fever, pus, foul odor, or increased pain.

Choice C is wrong because placing the client on contact (wound) precautions is not required for a 2-day-old wound that is not infected or draining. Wound precautions are only indicated for wounds that are colonized or infected by multidrug-resistant organisms.

A. Insulin aspart (Novo Log). B. Insulin glargine (Lantus). C. Insulin lispro (Humalog). D. Insulin regular (Humulin-R).

Correct Answer is D

Explanation

Insulin regular (Humulin-R) is the only form of insulin that is safe for intravenous administration. This is because it is a short-acting insulin that has a rapid onset and peak time, and does not contain any additives or suspensions that could interfere with the infusion.

Choice A is wrong because insulin aspart (Novo Log) is a rapid-acting insulin that is usually taken right before a meal. It is not suitable for intravenous use because it has a different amino acid sequence than human insulin.

Choice B is wrong because insulin glargine (Lantus) is a long-acting insulin that covers insulin needs for about a full day. It is not suitable for intravenous use because it forms micro-precipitates under the skin that release insulin slowly and steadily.

Choice C is wrong because insulin lispro (Humalog) is a rapid-acting insulin that is usually taken right before a meal. It is not suitable for intravenous use because it has a different amino acid sequence than human insulin.

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A client has been newly diagnosed with hypothyroidism. What symptoms or signs would be expected with this diagnosis? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Which action should the nurse take after assessing a 2-day-old wound that has a crust along the edges, is red and appears slightly swollen?

Correct Answer is D

Explanation

A client who has a blood glucose level of 800 mg/dL is to receive insulin intravenously. Which form of insulin is safe for intravenous administration?

Correct Answer is D

Explanation

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A client has been newly diagnosed with hypothyroidism.
What symptoms or signs would be expected with this diagnosis? Select all that apply.