A nurse is caring for a client who reports increased anxiety and nervousness, heat intolerance, and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH), elevated thyroxine (T4), and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?

Hypotension

Tachycardia

Slow respiratory rate

Decreased body temperature

Answer and Explanation

The Correct Answer is B

A. Hypotension: Hyperthyroidism typically causes increased cardiac output and can lead to normal or elevated blood pressure, not hypotension.

B. Tachycardia. Elevated thyroid hormones increase metabolic rate and sympathetic nervous system activity, leading to tachycardia.

C. Slow respiratory rate: There is no direct effect of hyperthyroidism on respiratory rate.

D. Decreased body temperature: Hyperthyroidism is associated with increased metabolism, which can lead to heat intolerance and increased body temperature, not decreased.

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Correct Answer is A

Explanation

A. "If you become pregnant, low thyroid hormone levels can affect your developing fetus." Hypothyroidism during pregnancy can lead to developmental issues in the fetus. Adequate thyroid hormone levels are crucial for fetal neurodevelopment and growth.

B. "Hypothyroidism can cause autoimmune disorders over time.": Hypothyroidism itself is often caused by autoimmune disorders like Hashimoto's thyroiditis, not the other way around.

C. "Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase.": This describes hyperthyroidism, not hypothyroidism.

D. "Low blood pressure is usually associated with hypothyroidism.": Hypothyroidism can lead to increased blood pressure, not low blood pressure.

A. Stable employment B. Positive coping skills C. History of trauma D. Strong social support system

Correct Answer is C

Explanation

A. Stable employment: Provides stability but does not necessarily prevent crisis during personal or environmental upheaval.

B. Positive coping skills: Mitigates crisis risk but does not eliminate it entirely.

C. History of trauma. Past traumatic experiences can predispose individuals to crisis during similar stressful situations. Previous trauma can lead to heightened stress responses and difficulty coping with subsequent stressors.

D. Strong social support system: Helps buffer stress but does not prevent crisis in all situations.

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Naxlex Comprehensive Predictor Exams

A nurse is educating a 28-year-old female client about the impacts of hypothyroidism on overall health. Which of the following statements would the nurse include in the teaching?

Correct Answer is A

Explanation

Which of the following factors increases a client's risk of experiencing a crisis?

Correct Answer is C

Explanation

A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?

Which of the following is a warning sign that someone may be at immediate risk for attempting suicide?

A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who has sickle cell anemia. The client asks, "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?

Which of the following is a potential dietary recommendation for a client with iron-deficiency anemia?

What is the definition of substance misuse?

Claudette, the nurse, is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia? (Select All that Apply.)