A nurse is caring for a client with a new diagnosis of hyperthyroidism. Which symptom is most likely to be reported by this client?

Weight gain

Bradycardia

Heat intolerance

Constipation

Answer and Explanation

The Correct Answer is C

Choice A reason: Weight gain is associated with hypothyroidism, not hyperthyroidism. Hyperthyroidism increases metabolic rate, leading to weight loss due to increased calorie expenditure. The thyroid hormones accelerate metabolism, causing catabolism, which contrasts with the client’s likely symptom of weight loss, not gain, in hyperthyroidism.

Choice B reason: Bradycardia, or slow heart rate, occurs in hypothyroidism due to decreased metabolic rate. Hyperthyroidism causes tachycardia, as elevated thyroid hormones increase sympathetic activity, raising heart rate and cardiac output. The client’s symptoms would likely include a rapid heart rate, not bradycardia, in this condition.

Choice C reason: Heat intolerance is a classic symptom of hyperthyroidism due to increased metabolic rate from elevated thyroid hormones. This causes excessive heat production, leading to sweating and discomfort in warm environments. The symptom aligns with the hypermetabolic state, making it the most likely to be reported.

Choice D reason: Constipation is associated with hypothyroidism, where decreased metabolism slows gastrointestinal motility. Hyperthyroidism increases motility, often causing diarrhea. The client with hyperthyroidism is unlikely to report constipation, as their condition accelerates digestive processes, contrasting with the slowed motility seen in hypothyroidism.

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Correct Answer is A

Explanation

Choice A reason: Hypomagnesemia, low magnesium (normal 1.7–2.2 mg/dL), is indicated by the 0.8 mEq/L value. Magnesium is vital for muscle, nerve, and cardiac function. Low levels can cause tremors, seizures, and arrhythmias. The other values (sodium, chloride, potassium) are within normal ranges, making hypomagnesemia the primary imbalance.

Choice B reason: Hyponatremia, low sodium (normal 135–145 mEq/L), is not indicated, as the sodium level is 140 mEq/L, within normal limits. Hyponatremia can cause neurological symptoms like confusion, but the lab values do not support this diagnosis, and magnesium imbalance is the clear abnormality.

Choice C reason: Hyperchloremia, high chloride (normal 98–106 mEq/L), is not present, as the chloride level is 107 mEq/L, just above normal and not clinically significant. Elevated chloride may occur in dehydration or renal issues, but the primary concern here is the significantly low magnesium level.

Choice D reason: Hypokalemia, low potassium (normal 3.5–5.0 mEq/L), is not indicated, as the potassium level is 3.6 mEq/L, within normal range. Hypokalemia causes muscle weakness and arrhythmias, but the lab values point to hypomagnesemia as the primary electrolyte imbalance in this case.

A. The nurse shows the best positions to hold the newborn while feeding B. The nurse explains the steps of warming a bottle C. The nurse has both parents demonstrate changing a diaper D. The nurse asks the clients their views on breastfeeding

Correct Answer is D

Explanation

Choice A reason: Showing positions for holding a newborn addresses the psychomotor domain, teaching physical skills. The affective domain involves emotions and attitudes, not physical techniques. This action helps parents learn how to feed but does not explore their feelings or beliefs, which is the focus of affective learning.

Choice B reason: Explaining bottle-warming steps targets the cognitive domain, focusing on knowledge and procedure. It does not address emotions or attitudes, which are central to the affective domain. This action provides technical understanding but does not engage the parents’ feelings or values about newborn care.

Choice C reason: Having parents demonstrate diaper changing is a psychomotor activity, emphasizing skill acquisition. The affective domain involves feelings and attitudes, not physical tasks. While this builds confidence, it does not directly address emotional engagement or beliefs, which are necessary for affective learning in this context.

Choice D reason: Asking about breastfeeding views targets the affective domain by exploring parents’ emotions, beliefs, and attitudes. This encourages reflection on personal values, fostering emotional engagement with newborn care. Addressing these feelings helps build confidence and commitment, aligning with affective learning goals in nursing education.

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A nurse is caring for a client with a new diagnosis of hyperthyroidism. Which symptom is most likely to be reported by this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As the nurse assesses a client’s laboratory values, the following are noted: Sodium 140 mEq/L, Magnesium 0.8 mEq/L, Chloride 107 mEq/L, Potassium 3.6 mEq/L. What electrolyte imbalance is indicated?

Correct Answer is A

Explanation

indicate the nurse is addressing the affective domain of learning?

Correct Answer is D

Explanation

A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with quick recovery. In which domain is the client demonstrating successful learning?

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