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 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.
Correct Answer is ["20"]
Explanation
Heparin infusion calculation:
- Heparin dose ordered: 1000 units per hour
- Heparin concentration: 25,000 units in 500 mL
- Conversion: 1 mL = 500 units
Calculations:
- Units per hour = 1000 units
- Units per mL = 25,000 units / 500 mL = 50 units/mL
- mL per hour = 1000 units / 50 units/mL = 20 mL/hr
Answer: The IV pump should be set to 20 mL/hr.
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