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. Administering corticosteroids is crucial during an Addisonian crisis but typically involves intravenous corticosteroids (not oral) during the crisis to quickly restore hormone levels. Oral corticosteroids are part of regular maintenance therapy but not an immediate intervention in the crisis.

B. Weighing the client daily is important to monitor for potential fluid loss, dehydration, or weight changes related to Addison's disease and Addisonian crisis. Clients with Addison’s disease may experience fluid and electrolyte imbalances, so daily weight tracking helps detect early signs of fluid shifts, which are critical in crisis prevention and management.

C. A low-carbohydrate diet is not recommended for clients with Addison’s disease, as they may need a balanced diet with sufficient carbohydrates to prevent hypoglycemia.

D. Fluid intake should not be restricted; rather, maintaining adequate hydration is vital. Clients in Addisonian crisis are often at risk for dehydration due to fluid losses and low aldosterone levels, making fluid replacement essential.

A. Measure blood glucose levels every 4 hr. B. Check urine specific gravity. C. Administer a diuretic D. Initiate fluid restrictions

Correct Answer is B

Explanation

A. This intervention is not relevant to diabetes insipidus, which affects water balance rather than glucose levels.
B. Checking urine specific gravity helps assess the concentration of urine, which can be very dilute in diabetes insipidus.
C. Diabetes insipidus is already characterized by excessive urination (polyuria), so administering a diuretic would exacerbate fluid loss.
D. Fluid restrictions are not typically necessary in diabetes insipidus because the primary issue is water loss rather than retention.

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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 caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

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