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 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.

A. The child will demonstrate effective problem-solving skills. B. The child will acknowledge they have a genetic disorder. C. The child will verbalize age-appropriate feelings of self-worth. D. The family will be able to express their concerns. E. The child will sign a behavior contract. F. The child will learn to isolate when feeling angry.

Correct Answer is ["A","E","F"]

Explanation

A. The child will demonstrate effective problem-solving skills. Teaching problem-solving skills can help the child manage triggers and reduce explosive behaviors.

B. The child will acknowledge they have a genetic disorder: This is not directly related to managing IED behaviors.

C. The child will verbalize age-appropriate feelings of self-worth: Important for emotional development but not specific to managing IED.

D. The family will be able to express their concerns: Family involvement is important but not a behavioral goal for the child.

E. The child will sign a behavior contract: A behavior contract can outline expectations and consequences, promoting positive behavior change. This can be part of a behavioral management plan.

F. The child will learn to isolate when feeling angry: Teaching coping skills like isolation can help manage behavior.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Correct Answer is B

Explanation

The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client? (Select All that Apply.)

Correct Answer is ["A","E","F"]

Explanation

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