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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Correct Answer is C

Explanation

A. Cold intolerance: Incorrect. Cold intolerance is associated with hypothyroidism, not hyperthyroidism.

B. Fatigue and lethargy: Symptoms typically seen in hypothyroidism.

C. Tremors and nervousness Correct Answer. Hyperthyroidism often presents with symptoms such as tremors (especially in the hands) and nervousness due to increased sympathetic activity. Increased metabolism and sympathetic nervous system activity lead to these symptoms.

D. Weight gain: Typically seen in hypothyroidism due to slowed metabolism.

A. Areas of ecchymosis on the torso. B. Mismatched clothing C. Abrasions on knees D. abdominal rebound tenderness E. Round burn marks on forearms

Correct Answer is ["A"]

Explanation

A. Areas of ecchymosis on the torso. Ecchymosis on the torso, especially in non-ambulatory children, can be concerning for abuse. Unexplained bruises in unusual locations or patterns are red flags for physical abuse.

B. Mismatched clothing: Typically not an indicator of abuse but could suggest neglect.

C. Abrasions on knees: Common in active children and not specific to abuse.

D. Abdominal rebound tenderness: Could indicate abdominal pathology but not necessarily abuse.

E. Round burn marks on forearms: Could suggest burns but not specific to abuse without further context.

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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

Which of the following is a characteristic sign of hyperthyroidism?

Correct Answer is C

Explanation

Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)

Correct Answer is ["A"]

Explanation

Administer heparin 1000 units per hour IV. The pharmacy supplies the heparin infusion as 25.000 units in 500 mL DSW. What will the IV pump be set to? (Include unit of measure with answer).

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