A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder.

Exhibits

The receiving medical-surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply

cold intolerance

depression dry skin

weakness and fatigue

constipation

mental alertness

Answer and Explanation

Correct Answer : A,B,C,D

A. Cold intolerance: Patients with hypothyroidism often have difficulty regulating body temperature, leading to a heightened sensitivity to cold.

B. Depression: Hypothyroidism can affect mood and cognitive function, often leading to symptoms of depression.

C. Weakness and fatigue: Low thyroid hormone levels can cause significant fatigue and muscle weakness due to a slower metabolism.

D. Constipation: A slowed metabolism can also affect gastrointestinal motility, resulting in constipation.

E. Mental alertness: This is typically not expected in hypothyroid patients. In fact, they may experience cognitive impairments, memory issues, or slowed thinking rather than mental alertness.

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Correct Answer is C

Explanation

A. Cranial nerves III, IV, and VIII are not involved in mouth functions; they primarily deal with eye movements and hearing.
B. Cranial nerves III, II, and VI are involved in vision and eye movement but not in mouth functions.
C. Cranial nerves IX (glossopharyngeal), X (vagus), and XII (hypoglossal) are all tested through functions such as swallowing, speech, and movement of the tongue, which occur in the mouth.
D. Option D incorrectly lists cranial nerve I twice; cranial nerve I (olfactory) is related to the sense of smell, not the mouth.

A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis E. Metabolic acidosis

Correct Answer is C

Explanation

A. Metabolic alkalosis is characterized by a high pH and a high HCO3- level; this does not match the provided values.

B. Metabolic acidosis would show a low pH and a low HCO3-, which does not match the findings.

C. The pH is high (7.45) while the Paco2 is low (30 mm Hg), indicating respiratory alkalosis. The low HCO3- could be a compensatory mechanism but does not change the primary interpretation of respiratory alkalosis.

D. Respiratory acidosis would be indicated by a low pH and a high Paco2, which is not the case here.

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A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder. Exhibits The receiving medical-surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When completing a neurological assessment, which cranial nerves are tested within the mouth?

Correct Answer is C

Explanation

The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, [normal range: 7.35-7.45] Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45] HCO3- of 20 mEq/L (20 mmol/L), [normal range: 22-26] Which condition would the nurse analyze these results to indicate?

Correct Answer is C

Explanation

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Which abnormality is depicted in the image below?

A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder.

Exhibits

The receiving medical-surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply