A nurse is assisting a client diagnosed with hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to the diet?

Baked fish

Tuna salad

Bran flakes

Cantaloupe

Answer and Explanation

The Correct Answer is A

A. Baked fish is rich in iodine, which supports thyroid function and can be beneficial for clients with hypothyroidism. Iodine is necessary for thyroid hormone production.
B. Tuna salad may contain iodine, but it is not as reliable a source as baked fish and may also contain added fats.
C. Bran flakes are high in fiber, which can interfere with the absorption of thyroid medications.
D. Cantaloupe, while nutritious, does not provide significant levels of iodine or nutrients that directly support thyroid function.

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Correct Answer is C

Explanation

A. Feeling fatigued is not indicative of a therapeutic response; rather, patients should experience increased energy levels with appropriate therapy.
B. Decreased thyroxine levels are not the primary goal of levothyroxine therapy, which aims to normalize thyroid hormone levels in the body.
C. Decreased thyroid-stimulating hormone (TSH) levels indicate that the body is responding well to levothyroxine, as TSH production decreases when thyroid hormone levels are adequate.
D. Bradycardia and hypotension are not desired effects of levothyroxine and indicate potential under-treatment or other issues rather than a therapeutic response.

A. Hypertension B. Weakened gag reflex C. Absence of bowel sounds D. Bradycardia E. Tachycardia

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

Explanation

A. Hypertension can occur due to autonomic dysreflexia, especially in clients with cervical spinal cord injuries, as they may have exaggerated sympathetic responses.
B. A weakened gag reflex can result from cranial nerve involvement due to the cervical spinal cord injury, impacting the client's ability to protect their airway.
C. Absence of bowel sounds may indicate bowel immobility or dysfunction; however, it is not a direct complication of a cervical spinal cord injury.
D. Bradycardia is a common finding in cervical spinal cord injuries due to impaired sympathetic nervous system function, leading to decreased heart rate.
E. Tachycardia is less common in cervical injuries and is typically associated with lower injuries in the spinal cord.

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A nurse is assisting a client diagnosed with hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to the diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has been prescribed levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Correct Answer is C

Explanation

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? Select all that apply.

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

Explanation

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