A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism.

Which of the following laboratory values should the nurse anticipate an elevation of?

Free T4

Serum T3

Serum T4

Thyroid stimulating hormone (TSH)

Answer and Explanation

The Correct Answer is D

A.   In primary hypothyroidism, the thyroid gland fails to produce sufficient thyroid hormone.
Consequently, free T4 levels are typically decreased.
B.   Although serum T3 levels may also decrease in primary hypothyroidism due to impaired thyroid function, TSH is the primary marker used for diagnosis and monitoring.
C.   Similarly, serum T4 levels may decrease in primary hypothyroidism due to decreased synthesis by the thyroid gland.
D.   In primary hypothyroidism, the anterior pituitary gland releases more TSH to stimulate the thyroid gland to produce thyroid hormones. Therefore, elevated TSH levels are characteristic of primary hypothyroidism.

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Correct Answer is A

Explanation

A. Constipation is a common adverse effect of aluminum hydroxide, an antacid often used to bind phosphate in patients with renal failure to prevent hyperphosphatemia.
B. Muscle spasms are not typically associated with aluminum hydroxide.
C. Metallic taste is not a common adverse effect of aluminum hydroxide.
D. Headache is not a common adverse effect of aluminum hydroxide.

A. Hypernatremia B. Hypercalcemia C. Hyperchloremia D. Hyperuricemia

Correct Answer is D

Explanation

A. Furosemide use is more commonly associated with hyponatremia rather than hypernatremia due to its diuretic effect.
B. Furosemide does not typically cause hypercalcemia; instead, it may lead to hypocalcemia.
C. Hyperchloremia is not a primary concern with furosemide, as the drug can cause a loss of chloride ions alongside sodium.
D. Furosemide can cause an increase in uric acid levels by reducing its excretion through the kidneys.

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A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. Which of the following laboratory values should the nurse anticipate an elevation of?

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism.

Which of the following laboratory values should the nurse anticipate an elevation of?