A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)

Mineralocorticoids

Calcitonin

Thyroxine (T4)

Triiodothyronine (T3)

Glucocorticoids

Answer and Explanation

Correct Answer : C,D

Choice A reason: Mineralocorticoids are produced by the adrenal glands and regulate sodium and potassium balance, not typically associated with the symptoms of myxedema.

Choice B reason: Calcitonin is involved in calcium metabolism and is not related to the symptoms of myxedema.

Choice C reason: Thyroxine (T4) is a thyroid hormone essential for regulating metabolism. A deficiency in T4 leads to symptoms such as fatigue, cold intolerance, and myxedema.

Choice D reason: Triiodothyronine (T3) is another thyroid hormone crucial for metabolism regulation. A lack of T3, along with T4, contributes to the symptoms of myxedema.

Choice E reason: Glucocorticoids are produced by the adrenal glands and are involved in stress response and metabolism, but are not directly related to myxedema.

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Correct Answer is C

Explanation

Choice A reason: Teaching the client about using hats and scarves is helpful, but providing resources for wigs and head coverings offers more comprehensive support and options.

Choice B reason: Explaining that hair loss is a temporary side effect of chemotherapy is informative but does not directly address the client's distress.

Choice C reason: Providing resources for wigs and other head coverings directly addresses the client's concern about hair loss. It offers practical solutions and helps the client cope with the physical changes caused by chemotherapy.

Choice D reason: Recommending limited social interactions to avoid embarrassment is not supportive. It may increase feelings of isolation and does not address the underlying distress.

A. Increased temperature. B. Sudden pain relief. C. Popping sensation when swallowing. D. Green-blue discharge in the ear canal.

Correct Answer is D

Explanation

Choice A reason: Increased temperature is a common symptom of many infections, including otitis media, but it does not specifically indicate a tympanic membrane rupture. Fever may accompany the infection but is not a definitive sign of membrane rupture.

Choice B reason: Sudden pain relief can be an indicator of a tympanic membrane rupture in otitis media. This occurs because the pressure built up in the middle ear is suddenly released when the membrane ruptures. However, it is not the only definitive sign.

Choice C reason: A popping sensation when swallowing is a symptom associated with eustachian tube dysfunction rather than a tympanic membrane rupture. It indicates that there is a change in the pressure within the middle ear but not necessarily a rupture.

Choice D reason: Green-blue discharge in the ear canal is a classic sign of a tympanic membrane rupture. This discharge is usually pus mixed with blood from the middle ear and indicates that the membrane has ruptured, allowing the fluid to drain out. This finding is definitive and requires medical attention.

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A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client undergoing chemotherapy for breast cancer is distressed about hair loss. The most effective intervention by the nurse would be to:

Correct Answer is C

Explanation

A nurse is caring for a child who has otitis media with effusion. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

Correct Answer is D

Explanation

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