A client is scheduled for a procedure for treatment of hyperthyroidism. Prior to the procedure, the client will be given medications to reach an euthyroid state. What is the rationale for doing this?
Prevent possible hypothyroidism
Prevent thyroid storm
Help medications for hyperthyroidism be more effective
Minimize the risk of bleeding during the surgical procedure
The Correct Answer is B
Choice A reason: Achieving euthyroid state before hyperthyroidism procedures, like thyroidectomy, aims to normalize thyroid hormone levels, not prevent hypothyroidism. Post-procedure hypothyroidism is a separate concern managed with hormone replacement. This statement is inaccurate, as the primary goal is to stabilize metabolism, not prevent low thyroid function.
Choice B reason: Medications like methimazole or propylthiouracil are used pre-procedure to achieve euthyroid state, reducing thyroid hormone levels to prevent thyroid storm—a life-threatening hypermetabolic crisis triggered by surgery or stress. This statement is accurate, as stabilizing thyroid function minimizes perioperative complications like tachycardia or hyperthermia.
Choice C reason: Euthyroid state does not directly enhance the efficacy of anti-thyroid medications but rather prepares the patient for surgery by reducing hyperthyroid symptoms. Medications are effective independently, and this statement is inaccurate, as the rationale focuses on patient safety, not drug potentiation.
Choice D reason: While euthyroid state reduces metabolic stress, it does not primarily minimize bleeding risk. Bleeding is managed through surgical techniques and coagulation status, not thyroid hormone levels. This statement is inaccurate, as bleeding risk is not the primary concern addressed by achieving euthyroid state pre-procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Morning stiffness lasting 25 minutes suggests mild joint inflammation but is not specific to rheumatoid arthritis (RA). RA typically involves stiffness exceeding 30-60 minutes and multiple joints bilaterally. This symptom alone is less indicative than red, spongy joints, making this choice less likely for RA.
Choice B reason: Crepitus in the right knee indicates cartilage wear, more characteristic of osteoarthritis than RA. RA causes synovial inflammation, not primarily crepitus. This 45-year-old male’s symptom suggests mechanical joint issues, not the inflammatory, systemic features of RA, making this choice incorrect.
Choice C reason: Red, soft, spongy joints in both knees indicate synovial inflammation and effusion, hallmark signs of RA. This autoimmune disease causes bilateral joint swelling, warmth, and tenderness due to synovitis. This 30-year-old female’s symptoms align with RA’s clinical presentation, making this the most likely manifestation.
Choice D reason: Osteophyte formation and decreased joint space are typical of osteoarthritis, not RA. RA involves synovial inflammation and cartilage erosion without osteophytes early on. This 40-year-old male’s findings suggest degenerative joint disease, not the inflammatory changes of RA, making this choice incorrect.
Correct Answer is B
Explanation
Choice A reason: A complete break with both ends aligned is a simple or non-displaced fracture, not a greenstick fracture. Greenstick fractures involve partial breakage with bending, common in children due to flexible bones. This description does not match the characteristic bending of greenstick fractures.
Choice B reason: A greenstick fracture is a partial break where one side of the bone bends and the other cracks, like a green twig. This occurs in children due to pliable bones with a thick periosteum. This description accurately depicts a greenstick fracture, making it the correct choice.
Choice C reason: A break with bone piercing the skin is a compound (open) fracture, not a greenstick fracture. Compound fractures involve complete bone disruption and skin penetration, unlike the partial, bending nature of greenstick fractures, making this description incorrect for the fracture type.
Choice D reason: A spiral break from twisting force is a spiral fracture, characterized by a helical pattern around the bone. Greenstick fractures involve bending, not twisting, and are partial breaks. This description is inaccurate, as it describes a different fracture mechanism unrelated to greenstick fractures.
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