A client is to receive radioactive iodine for treatment of hyperthyroidism. What should the client be educated to prepare for following this procedure?
You will need to wear light clothing and avoid hot showers for 6 months.
The procedure is likely to leave you infertile.
Do not drink caffeinated beverages for 2 weeks.
This is very likely to cause hypothyroidism, which will require life-long medication treatment.
The Correct Answer is D
Choice A reason: This statement is false. The client does not need to wear light clothing or avoid hot showers after receiving radioactive iodine. However, the client should avoid close contact with others, especially children and pregnant women, for a few days to prevent radiation exposure.
Choice B reason: This statement is false. The procedure is unlikely to leave the client infertile, as the dose of radioactive iodine is low and does not affect the reproductive organs. However, the client should avoid pregnancy for at least 6 months after the procedure, as a precaution.
Choice C reason: This statement is false. The client does not need to avoid caffeinated beverages after receiving radioactive iodine. However, the client should drink plenty of fluids to flush out the excess iodine from the body.
Choice D reason: This statement is true. The procedure is very likely to cause hypothyroidism, as the radioactive iodine destroys the thyroid cells that produce thyroid hormones. The client will need to take thyroid hormone replacement therapy for the rest of their life to prevent symptoms of hypothyroidism, such as fatigue, weight gain, cold intolerance, and depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It does not have a significant effect on blood glucose levels. The client has a normal blood glucose level, which can be maintained by following a balanced diet and exercise regimen.
Choice B reason: This statement is true. The nurse would question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also cause hyperkalemia, which is a condition where the potassium level is too high. The client has a high potassium level, which can cause cardiac arrhythmias or muscle weakness. The nurse should hold the lisinopril and notify the prescriber.
Choice C reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can also reduce the symptoms and mortality of heart failure, which is indicated by a high BNP level. BNP stands for B-type natriuretic peptide, which is a hormone that is released by the heart when it is stretched or stressed. The client has a high BNP level, which suggests that they have heart failure.
Choice D reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can also prevent cardiovascular events, such as stroke or heart attack, in people with hypertension. The client has a high blood pressure, which can damage the blood vessels and organs. The nurse should administer the lisinopril as ordered and monitor the client's blood pressure and renal function.
Correct Answer is ["500"]
Explanation
To find the rate in mL/hr, we need to convert the time from minutes to hours and then divide the volume by the time. Here are the steps:
1. Convert 30 minutes to hours:
30 minutes/ (60 minutes/hour)= 0.5 hours
2. Calculate the rate in mL/hr:
250 mL/ 0.5 hours = 500 mL
So, the nurse will set the pump to deliver the fluid at a rate of 500 mL/hr.
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