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. 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.

A. pH 7.55, HCO 30 mEq/L PaCO 31 mm Hg B. pH 7.50, HCO 20 mEq/L, PaCO2 32 mm Hg C. pH 7.25, HCO 19 mEq/L. PaCO, 30 mm Hg D. pH 7.30, HCO: 26 mEq/L, PaCO, 50 mm Hg

Correct Answer is C

Explanation

A. The pH is alkalotic, and the PaCO2 is within the normal range, indicating respiratory alkalosis, which is not typically seen in chronic kidney disease.
B. The pH is alkalotic, and the HCO3 level is lower than normal, indicating metabolic acidosis, which can occur in chronic kidney disease, but the PaCO2 is not typically decreased in metabolic acidosis.
C. This choice fits the pattern of metabolic acidosis commonly seen in CKD patients. In patients with chronic kidney disease (CKD), the kidneys are less able to excrete acid, leading to metabolic acidosis. Therefore, the expected arterial blood gas values would show a lower pH indicating acidemia, a decreased bicarbonate (HCO3-) level, and a normal or low partial pressure of carbon dioxide (PaCO2) as the lungs try to compensate by blowing off CO2.
D. The pH is acidic, and the HCO3 level is within the normal range, indicating respiratory acidosis, which is not typically seen in chronic kidney disease.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

Correct Answer is C

Explanation

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