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 D

Explanation

A. Respiratory acidosis would typically involve an elevated PaCO2, which is not seen in this case.
B. Metabolic alkalosis is characterized by an elevated bicarbonate level, which is not present in this scenario.
C. Respiratory alkalosis would present with a low PaCO2 and an elevated pH, which is not the case here.
D. The low bicarbonate level (HCO3) 18mEq/L (normal range of 22-26 mEq/L), and low pH 7.30 (normal range of 7.35-7.45), indicate metabolic acidosis. suggesting acidemia. The PaCO2 is also low at 28 mm Hg, indicating a respiratory compensation for the metabolic acidosis.

A. Warm flushed skin B. Bounding peripheral pulses C. Widened QRS complexes D. Hyperactive deep tendon reflexes

Correct Answer is C

Explanation

A. Respiratory acidosis typically presents with cool, clammy skin due to compensatory peripheral vasoconstriction.
B. Peripheral pulses may be weak or thready in respiratory acidosis due to decreased cardiac output.
C. Respiratory acidosis can lead to electrolyte imbalances, particularly hyperkalemia, which can manifest as widened QRS complexes on an electrocardiogram (ECG).
D. Respiratory acidosis can lead to hyperkalemia, but hyperactive deep tendon reflexes are not a characteristic finding.

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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 the following arterial blood gas results: HCO3-, 18 mEq, PaCO, 28 mm Hg and pH 7.30. The nurse recognizes the client is experiencing which of the following acid base imbalances?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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