A client with thyroid disease is being treated with propylthiouracil (PTU). Which statement made by the client indicates the medication therapy is effective?

"I have less constipation these days."

"I've lost five pounds since I started this medication."

"My face is not so puffy now."

"My vision has improved lately."

Answer and Explanation

The Correct Answer is C

Choice A reason: Less constipation is not a direct indicator of effective PTU therapy, as constipation can be associated with hypothyroidism, and PTU is used to treat hyperthyroidism.

Choice B reason: Weight loss is expected in hyperthyroidism, and PTU is used to reduce thyroid hormone levels, not to promote weight loss.

Choice C reason: A reduction in facial puffiness can indicate that the PTU is effectively reducing thyroid hormone levels, as puffiness can be associated with hyperthyroidism.

Choice D reason: Improvement in vision is not a typical outcome of PTU therapy and does not directly indicate its effectiveness.

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Correct Answer is A

Explanation

Choice A reason: The ABG results show an elevated pH and HCO3, which are indicative of metabolic alkalosis. The PaCO2 is within the normal range, suggesting that it is uncompensated.

Choice B reason: Respiratory acidosis would be indicated by an elevated PaCO2 and a decreased pH, which is not the case here.

Choice C reason: Metabolic acidosis would be indicated by a decreased pH and HCO3, which is not consistent with the given results.

Choice D reason: Respiratory alkalosis would be indicated by a decreased PaCO2 and an increased pH, which is not consistent with the given results.

A. A 50-year-old woman who had a thyroidectomy. B. A 49-year-old man who works in a pesticide factory. C. A 25-year-old woman with thyroid nodules. D. A 71-year-old man with vomiting secondary to influenza.

Correct Answer is A

Explanation

Choice A reason: A thyroidectomy, which is the surgical removal of the thyroid gland, directly leads to hypothyroidism because the body can no longer produce thyroid hormones. This client is at the greatest risk of developing hypothyroidism.

Choice B reason: While exposure to certain chemicals in pesticides can be a risk factor for thyroid dysfunction, it does not pose as immediate a risk as the removal of the thyroid gland itself.

Choice C reason: Thyroid nodules can be associated with thyroid dysfunction, but not all nodules result in hypothyroidism, and many are benign and asymptomatic.

Choice D reason: Vomiting secondary to influenza is not directly related to the development of hypothyroidism.

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A client with thyroid disease is being treated with propylthiouracil (PTU). Which statement made by the client indicates the medication therapy is effective?

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Naxlex Comprehensive Predictor Exams

A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Correct Answer is A

Explanation

The nurse practitioner is assessing clients for their risk of developing hypothyroidism. Which of these clients would the nurse consider at greatest risk?

Correct Answer is A

Explanation

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