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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You will need to use a bathroom separate from other household members." This prevents others from exposure to radioiodine through bodily fluids. Radioiodine is excreted primarily through urine and to a lesser extent through saliva and sweat, necessitating separate bathroom use to minimize radiation exposure to others.
B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." Most RAI treatments for hyperthyroidism are done on an outpatient basis.
C. "A low fiber diet will be necessary." Unrelated to radioiodine treatment. There is no specific dietary restriction related to fiber for RAI treatment.
D. "Additional Immunizations will be needed for full protection." Not relevant to radioiodine treatment. Radioiodine treatment does not require additional immunizations.
Correct Answer is D
Explanation
A. Decreased thyrotropin receptor antibodies: Graves' disease is characterized by the presence of thyrotropin receptor antibodies, so they are typically increased, not decreased.
B. Decreased free thyroxine index: Graves' disease typically results in increased levels of thyroid hormones, not decreased.
C. Decreased triiodothyronine: T3 levels may be elevated in Graves' disease due to increased thyroid hormone production.
D. Decreased thyroid-stimulating hormone (TSH): Graves' disease causes excessive thyroid hormone production, leading to suppressed TSH levels. TSH is typically low in hyperthyroidism because the thyroid gland is overactive and not being stimulated by the pituitary gland.
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