A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

Constipation

Frequent mood changes

Weight gain of 4.5 kg (10 lb) in 3 weeks

Sensitivity to cold

Answer and Explanation

The Correct Answer is B

A.   Constipation is more commonly associated with hypothyroidism, not hyperthyroidism.
B.   Hyperthyroidism can lead to emotional lability, anxiety, and irritability due to increased metabolic rate.
C.   Weight loss is a common manifestation of hyperthyroidism, not weight gain.
D.   Sensitivity to cold is more commonly associated with hypothyroidism, not hyperthyroidism.

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Correct Answer is ["B","D","E"]

Explanation

A. Bicarbonate excess is not a clinical manifestation but rather the underlying cause of metabolic alkalosis.
B. Metabolic alkalosis can lead to potassium depletion, which may cause muscle weakness.
C. Kussmaul's respirations, characterized by deep and labored breathing, are more commonly associated with metabolic acidosis, not alkalosis, as the body tries to compensate for acidemia by expelling more carbon dioxide through deep breaths.
D. Alkalosis can cause peripheral vasodilation and decreased calcium ionization, leading to circumoral and digital paresthesia.
E. Alkalosis can cause cerebral vasoconstriction and decreased cerebral perfusion, leading to dizziness.

A. The client's voice is hoarse. B. The client reports tingling around the mouth C. Moderate serosanguinous drainage noted on neck dressing. D. The client has a slight tremor noted in both hands. E. The client's temperature has increased in 1 hr from 375° C (99.5° F) to 38.6°C (101.5 F) F. The client appears restless G. Oxygen saturation 95%

Correct Answer is ["A","B","C","D","E","F"]

Explanation

The nurse should report the hoarseness of the client's voice, which could indicate recurrent laryngeal nerve damage, which is a risk associated with thyroid surgery. Tingling around the mouth may suggest hypocalcemia, a common complication after thyroidectomy due to accidental removal or damage to the parathyroid glands. The moderate serosanguinous drainage on the neck dressing could signify bleeding or infection, which requires immediate attention. The noted tremor in both hands and the increase in temperature could be signs of a thyroid storm, a rare but life-threatening condition.

Furthermore, the client's restlessness could be a response to discomfort or could indicate a more serious issue, such as an impending thyrotoxic crisis. Oxygen saturation at 95% is within normal limits postoperatively; however, it should be monitored closely.

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A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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