A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system, the client responds. "My mom died last year. and I have been in foster care ever since. I don't have many friends." Which of the following actions should the nurse take?

Tell the client that being in foster care can help with coping.

Explain how grief support groups could increase coping and social support.

Encourage the client to ask the provider for medication.

Suggest using the internet as a source for finding supportive friends

Answer and Explanation

The Correct Answer is B

A. Tell the client that being in foster care can help with coping: Minimizes the client's emotional needs and may not address the grief adequately.

B. Explain how grief support groups could increase coping and social support. Grief support groups offer peer support and validation, which can be crucial for coping with loss and loneliness. Encouraging participation in support groups helps the client connect with others who have experienced similar losses and facilitates coping.

C. Encourage the client to ask the provider for medication: Not typically the first approach for addressing social support issues.

D. Suggest using the internet as a source for finding supportive friends: Safety and reliability of online friendships can vary, and in-person support is often more beneficial.

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Correct Answer is A

Explanation

A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.

B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.

C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.

D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.

A. "You will need to use a bathroom separate from other household members." B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." C. "A low fiber diet will be necessary." D. "Additional Immunizations will be needed for full protection."

Correct Answer is A

Explanation

A. "You will need to use a bathroom separate from other household members." This prevents others from exposure to radioiodine through bodily fluids. Radioiodine is excreted primarily through urine and to a lesser extent through saliva and sweat, necessitating separate bathroom use to minimize radiation exposure to others.

B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." Most RAI treatments for hyperthyroidism are done on an outpatient basis.

C. "A low fiber diet will be necessary." Unrelated to radioiodine treatment. There is no specific dietary restriction related to fiber for RAI treatment.

D. "Additional Immunizations will be needed for full protection." Not relevant to radioiodine treatment. Radioiodine treatment does not require additional immunizations.

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A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system, the client responds. "My mom died last year. and I have been in foster care ever since. I don't have many friends." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?

Correct Answer is A

Explanation

A nurse has received a report on a group of clients. Which of the following client clients should the nurse assess first?

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

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

A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?

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?

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