A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

Lethargy

Photophobia

Weight loss

Exophthalmos

Answer and Explanation

The Correct Answer is A

A.   Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B.   Photophobia is not typically associated with hypothyroidism.
C.   Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D.   Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.

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Correct Answer is B

Explanation

A. This is incorrect because the pH is indicative of alkalosis, not acidosis, and the body has not compensated.
B. The arterial blood gas (ABG) values provided indicate a pH of 7.6, which is above the normal range (7.35-7.45), suggesting alkalosis. The PaCO2 is low at 31 mm Hg, indicating hyperventilation, which is a respiratory process. Since the HCO3 is normal at 25 mmol/L, it suggests that the metabolic system is not the cause of the alkalosis. The body has not had time to compensate for the high pH with renal adjustments to the bicarbonate level, which would be seen in a partially compensated state.
C. This is incorrect because the bicarbonate level is normal, suggesting the metabolic system is not the cause.
D. This is incorrect because the bicarbonate level is normal, suggesting the metabolic system is not the cause.

A. Place the client on seizure precautions. B. Have the client breath into a paper bag. C. Encourage the client to breath slowly, D. Plan to administer sodium bicarbonate to the client

Correct Answer is A

Explanation

A. Placing the client on seizure precautions is important as metabolic alkalosis can cause neurological symptoms, such as confusion and increased risk for seizures due to electrolyte imbalances (e.g., low calcium levels). Therefore, seizure precautions are warranted.
B. Breathing into a paper bag is used in respiratory alkalosis to increase CO2 levels, but it is not appropriate in metabolic alkalosis, where the issue is not primarily related to CO2 imbalance.
C. Encouraging the client to breathe slowly is generally more appropriate for respiratory alkalosis, not metabolic alkalosis. Slow breathing would not directly address the underlying issue of metabolic alkalosis.
D. Administering sodium bicarbonate would worsen metabolic alkalosis, as it would further increase the alkalotic state. Sodium bicarbonate is used in metabolic acidosis, not alkalosis.

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A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is A

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