A client is diagnosed with hypothyroidism. Which signs/symptoms should the nurse expect the client to exhibit?

Tetany and complaints of stiffness of the hands.

Exophthalmos and complaints of nervousness.

Reports of extreme fatigue and hair loss.

Reports of profuse sweating and flushed skin.

Answer and Explanation

The Correct Answer is C

Choice A reason : Tetany and stiffness of the hands are not typical symptoms of hypothyroidism. Tetany is usually associated with hypocalcemia, which is not a direct result of hypothyroidism⁶.

Choice B reason : Exophthalmos and nervousness are symptoms associated with hyperthyroidism, not hypothyroidism. Exophthalmos, the bulging of the eyes, is particularly associated with Graves' disease, a type of hyperthyroidism⁶.

Choice C reason : Extreme fatigue and hair loss are common symptoms of hypothyroidism. The condition can lead to a slowing down of the body's metabolic processes, resulting in fatigue. Hair loss is also a frequent complaint due to the effects of reduced thyroid hormone levels on hair follicles⁶⁷⁸.

Choice D reason : Profuse sweating and flushed skin are more indicative of hyperthyroidism or other conditions, not hypothyroidism. Hypothyroidism typically leads to cold intolerance and dry skin⁶.

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Correct Answer is B

Explanation

Choice A reason : Bradykinesia refers to the slowness of movement and is commonly associated with Parkinson's disease, not meningitis. It is characterized by a gradual loss of spontaneous movement and can affect the ability to initiate and continue movements¹.

Choice B reason : Brudzinski's sign is a clinical sign that suggests meningitis when neck flexion causes reflex flexion of the hips and knees. It occurs due to meningeal irritation caused by spinal cord movement or nerves against the meninges¹. This sign is considered positive when passive flexion of the neck results in reflex flexion of the hips and knees, indicating meningeal irritation².

Choice C reason : Kernig's sign is another clinical sign used to evaluate for meningitis. It involves extending and straightening one knee while the individual lies on their back with their hips and knees bent at a 90-degree angle. A positive Kernig’s sign indicates pain or resistance when the leg is extended, which suggests meningitis³. However, it is not the condition described in the scenario.

Choice D reason : Nuchal rigidity is an inability to flex the neck forward due to rigidity of the neck muscles. While it is a sign of meningitis, it does not involve the involuntary flexion of the legs as described in the scenario. Nuchal rigidity is typically assessed by attempting to flex the patient's neck forward while they are in a supine position⁴.

A. Serum creatinine B. Urine-specific gravity C. Blood urea nitrogen (BUN) D. Serum sodium

Correct Answer is A

Explanation

Choice A reason : Serum creatinine is a key indicator of renal function. It is a waste product that kidneys filter out. Elevated levels can indicate impaired kidney function, which is a concern in SLE due to the risk of lupus nephritis².

Choice B reason : Urine-specific gravity can provide information about the kidney's ability to concentrate urine but is not as specific as serum creatinine for assessing overall renal function².

Choice C reason : Blood urea nitrogen (BUN) can be influenced by factors other than renal function, such as hydration status and dietary protein intake, making it less reliable than serum creatinine for evaluating kidney function in SLE².

Choice D reason : Serum sodium levels can be affected by various factors, including fluid balance and medications. While it can reflect changes in kidney function, it does not provide as direct an assessment as serum creatinine².

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A client is diagnosed with hypothyroidism. Which signs/symptoms should the nurse expect the client to exhibit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has meningitis and notes that when passively flexing the client's neck, there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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