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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["22"]
Explanation
Dobutamine infusion calculation:
- Client weight: 220 pounds
- Dobutamine dose ordered: 5.5 mcg/kg/min
- Dobutamine concentration: 750 mg in 500 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 220 lbs / 2.2 lbs/kg = 100 kg
- Calculate mcg/min: 5.5 mcg/kg/min × 100 kg = 550 mcg/min
- Calculate mcg/hr: 550 mcg/min × 60 min/hr = 33000 mcg/hr
- Calculate mL/hr: Dobutamine concentration is 750 mg/500 mL, which equals 1500 mcg/mL.
- mL/hr = 33000 mcg/hr / 1500 mcg/mL = 22 mL/hr
Answers:
- mcg/min: 550 mcg/min
- mcg/hr: 33000 mcg/hr
- mL/hr: 22 mL/hr
Correct Answer is D
Explanation
A. Mood swings and irritability: These can be symptoms of PTSD, but they are also common in other mental health conditions.
B. Difficulty falling asleep or staying asleep: Sleep disturbances are frequent in PTSD, but not specific to it.
C. Excessive worry and anxiety: Anxiety is a hallmark symptom of PTSD, but it doesn't differentiate PTSD from other anxiety disorders.
D. Flashbacks and intrusive memories are a defining characteristic of PTSD. They involve reliving the traumatic event in a very vivid and distressing way, often involuntarily. This makes them a strong indicator of PTSD.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
