A nurse is reinforcing teaching about hyperthyroidism with a client at 10 weeks of gestation who has the condition.
Which of the following statements should the nurse reinforce in the teaching?
"Women are more likely to develop hyperthyroidism after menopause.”.
"Graves' disease may result in hyperthyroidism.”.
"Cardiovascular disease can cause hyperthyroidism.”.
"Hyperthyroidism results in too little thyroid hormone production.”.
The Correct Answer is B
Choice A rationale
Hyperthyroidism is more likely to occur in women of childbearing age and does not have a higher incidence post-menopause. It is often associated with autoimmune disorders such as Graves' disease, which can affect individuals at any age.
Choice B rationale
Graves' disease is an autoimmune disorder that is a common cause of hyperthyroidism. It results from the immune system producing antibodies that stimulate the thyroid gland to produce excessive thyroid hormones.
Choice C rationale
Cardiovascular disease is not a direct cause of hyperthyroidism. However, untreated hyperthyroidism can lead to complications such as atrial fibrillation and heart failure due to the overproduction of thyroid hormones.
Choice D rationale
Hyperthyroidism results in excessive production of thyroid hormones, not too little. This excess leads to symptoms such as weight loss, heat intolerance, tremors, and increased metabolism, distinguishing it from hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
One parity indicates one delivery at a viable gestational age, which is not accurate for this client.
Choice B rationale
Two parity is correct as the client has delivered twins (considered one parity) at 36 weeks, which counts as one delivery at a viable gestational age.
Choice C rationale
Three parity is incorrect because the previous pregnancies did not result in three separate viable deliveries.
Choice D rationale
Four parity is incorrect as the client’s history includes one viable delivery (twins) and does not account for four separate viable births. .
Correct Answer is D
Explanation
Choice A rationale
A hymenal tag and white discharge on the genitalia are normal findings in newborn females, often due to maternal hormone exposure.
Choice B rationale
Edema on the scalp that crosses suture lines, known as caput succedaneum, is common and typically resolves on its own without intervention.
Choice C rationale
A heart murmur in a newborn can be normal, as many murmurs are benign and resolve as the newborn's circulation adjusts post-birth.
Choice D rationale
A large, deep sacral dimple above the gluteal cleft can be an indication of underlying spinal abnormalities, such as spina bifida, and requires further evaluation.
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