A nurse is caring for a client who has chronic hypothyroidism. For which of the following conditions should the nurse monitor?

Photophobia

Exophthalmos

Lethargy

Goiter

Answer and Explanation

The Correct Answer is C

A. Photophobia is not typically associated with hypothyroidism. It can be a symptom of conditions affecting the eyes, such as certain infections or ocular disorders.

B. Exophthalmos is a protrusion of the eyeballs and is a characteristic symptom of hyperthyroidism (overactive thyroid), not hypothyroidism (underactive thyroid).

C. Correct. Lethargy is a common symptom of hypothyroidism. It is characterized by extreme tiredness, sluggishness, and lack of energy.

D. Goiter is an enlargement of the thyroid gland and can occur in both hyperthyroidism and hypothyroidism. However, it is not a direct symptom; it is a physical finding that can be associated with thyroid disorders.

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Correct Answer is ["4"]

Explanation

Dose (mg) / Concentration (mg/mL) = Volume (mL)

Plugging in the given values, we get:

40 mg / 10 mg/mL = 4 Ml

Therefore, the nurse should administer 4 mL of furosemide per dose.

A. Administer aspirin as prescribed for any sign of hyperthermia. B. Keep the client NPO. C. Observe the client carefully for signs of hypocalcemia. D. Provide a quiet, low-stimulus environment.

Correct Answer is D

Explanation

A. Administering aspirin for hyperthermia is not a standard intervention for hyperthyroidism. Hyperthermia can occur in severe cases of hyperthyroidism, but the primary intervention is to address the underlying thyroid dysfunction and provide supportive care.

B. Keeping the client NPO (nothing by mouth) is not directly related to preventing a thyroid crisis in hyperthyroidism. It may be necessary for certain pre-operative preparations or if the client is undergoing specific procedures, but it does not address the prevention of a thyroid crisis.

C. While monitoring for signs of hypocalcemia is important in some cases of thyroid dysfunction, it is not the primary action to prevent a thyroid crisis. In hyperthyroidism, the focus is on managing excessive thyroid hormone levels.

D. Correct. Providing a quiet, low-stimulus environment is a crucial nursing intervention for clients with hyperthyroidism. They can be highly sensitive to external stimuli due to their increased metabolic rate. A calm environment helps reduce stress and the risk of exacerbating symptoms, potentially preventing a thyroid crisis.

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A nurse is caring for a client who has chronic hypothyroidism. For which of the following conditions should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many ml should the nurse administer per dose?

Correct Answer is ["4"]

Explanation

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?

A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)

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A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?

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