A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?

"Exposure to sunlight will help to strengthen your eyes."

"These are unusual symptoms. I will ask the provider for an ophthalmology referral."

"Eye drops and dim lighting can improve your symptoms."

"Surgery will be necessary to correct the damage to your eyes."

Answer and Explanation

The Correct Answer is C

A. "Exposure to sunlight will help to strengthen your eyes.": Sunlight exposure is not recommended as it can exacerbate symptoms.

B. "These are unusual symptoms. I will ask the provider for an ophthalmology referral.": These symptoms are characteristic of Graves' ophthalmopathy and do not require an immediate referral unless severe.

C. "Eye drops and dim lighting can improve your symptoms." These interventions can help alleviate discomfort associated with dryness and light sensitivity in hyperthyroidism-related eye changes (Graves' ophthalmopathy). Dim lighting reduces glare, which can be uncomfortable for clients with sensitivity to light. Eye drops can provide lubrication for dry eyes.

D. "Surgery will be necessary to correct the damage to your eyes.": Surgery is considered for severe cases or when other treatments fail, not typically as an initial intervention.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "DIC is characterized by an elevated platelet count." Incorrect; DIC typically causes thrombocytopenia.

B. "DIC is caused by abnormal coagulation involving fibrinogen." DIC involves widespread activation of coagulation factors leading to the formation of microthrombi and consumption of clotting factors like fibrinogen. Understanding the pathophysiology helps in managing DIC effectively.

C. "DIC is controllable with lifelong heparin usage." Heparin is not used in DIC management due to the risk of bleeding.

D. "DIC is a genetic disorder involving a vitamin K deficiency." DIC is not genetic and is not caused by vitamin K deficiency.

A. "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression." B. "Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life." C. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood." D. "Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression."

Correct Answer is A

Explanation

A. "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression." Defines the characteristic features of these disorders. Behavioral disruptive disorders, such as conduct disorder and oppositional defiant disorder, involve persistent patterns of disruptive behavior, defiance, and aggression.

B. "Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life." Incorrect; these behaviors may persist into adulthood.

C. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood." Typically diagnosed earlier in childhood or adolescence.

D. "Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression." Self-directed harm is not a primary feature of disruptive behavior disorders.

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A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse has attended an in-service regarding the care of adolescent clients who have behavioral disruptive disorders. Which statement by the nurse indicates an understanding of these disorders?

Correct Answer is A

Explanation

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