A nurse is in a provider's office is reviewing the health record of a client who is being evaluated for Grave's disease. Which of the following is an expected laboratory finding for this client?
Decreased free thyroxine index
Decreased thyroid stimulating hormone
Decreased triiodothyronine
Decreased thyrotropin receptor antibodies
The Correct Answer is B
A. Decreased free thyroxine index: In Graves' disease, there is an overproduction of thyroid hormones, including thyroxine (T4), leading to an increase in the free thyroxine index, not a decrease. Elevated T4 levels are typical in hyperthyroidism associated with Graves' disease.
B. Decreased thyroid stimulating hormone (TSH): In Graves' disease, the body produces excess thyroid hormones, which suppresses the pituitary gland’s production of TSH. As a result, TSH levels are typically low in Graves' disease.
C. Decreased triiodothyronine (T3): Graves' disease usually results in increased levels of T3 and T4 due to the overactive thyroid. A decrease in T3 would be inconsistent with the hyperthyroid state seen in this disorder.
D. Decreased thyrotropin receptor antibodies: In Graves' disease, there is an increase in thyrotropin receptor antibodies, which stimulate the thyroid to produce excess thyroid hormones. These antibodies are often elevated, not decreased.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Give half the prescribed dose and notify the registered nurse (RN): The symptoms described indicate a serious side effectof potassium iodide, such as agranulocytosis(a decrease in white blood cells), and a dose reduction is not recommended in this situation.
B. Continue to administer the medication: Continuing the medication without addressing the symptoms is unsafe. Fever, sore throat, and mouth ulcersare warning signsof a serious adverse effect, such as agranulocytosis, and continuing the medication could cause harm.
C. Stop the medication for 24 hours: Simply stopping the medication for a short period of time is not sufficient. The symptoms need to be reported immediately, and potassium iodideshould be withheld pending further evaluation by the healthcare provider.
D. Withhold the medication and notify the RN: Fever, sore throat, and mouth ulcersare potential signs of a serious adverse reactionlike agranulocytosis, which requires immediate attention. The nurse should withhold the medicationand inform the healthcare provider for further evaluation and guidance.
Correct Answer is D
Explanation
A. Give the client juice or hard candy immediately: While giving juice or hard candy is an appropriate treatment for hypoglycemia, assessing the blood glucose level first is crucial to confirm that the symptoms are indeed due to low blood sugar.
B. Call the health care provider: While it's important to notify the healthcare provider if the situation worsens or if there's a concern about the client's safety, the first priority is to assess the blood glucose level and take immediate action to treat the hypoglycemia.
C. Have the client lie down and see if symptoms subside: Lying down does not address the underlying cause of hypoglycemia. The client may need glucose to raise their blood sugar levels, so this is not the most effective first action.
D. Assess the blood glucose level, and administer glucose in the most appropriate form: Assessing the blood glucose level will confirm whether the symptoms are indeed due to hypoglycemia, and then the nurse can proceed with administering glucose in the most appropriate form (such as oral glucose, juice, or glucose tablets).
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