A nurse is reviewing laboratory results and notes that a client has an elevated thyroid-stimulating hormone (TSH) level. Which of the following assessment findings would the nurse expect?

Anxiety, unintended weight loss, palpitations

Fatigue, constipation, weight gain

Increased thirst, increased urine output, and weight los

Shakiness, sweating, nausea

Answer and Explanation

The Correct Answer is B

A. Anxiety, unintended weight loss, palpitations: These symptoms are consistent with hyperthyroidism, where excess thyroid hormone speeds up metabolism. Hyperthyroidism is typically associated with low TSH levels due to negative feedback suppression of the pituitary gland.
B. Fatigue, constipation, weight gain: These are classic symptoms of hypothyroidism, where a deficiency of thyroid hormones slows metabolic processes. An elevated TSH level reflects the pituitary's response to low circulating thyroid hormone, attempting to stimulate the thyroid to produce more.
C. Increased thirst, increased urine output, and weight loss: These symptoms point to hyperglycemia or conditions like diabetes mellitus, not thyroid dysfunction. They are due to glucose imbalances rather than altered thyroid hormone or TSH levels.
D. Shakiness, sweating, nausea: These symptoms are typically seen in hypoglycemia or acute adrenal issues, where blood glucose or cortisol levels drop. They do not correspond with thyroid hormone imbalances or elevated TSH.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Client's age: Age is a non-modifiable risk factor for stroke. As individuals get older, their risk of stroke increases due to vascular changes, but this is not something that can be altered or controlled through interventions or lifestyle changes.
B. History of sickle cell disease: Sickle cell disease increases stroke risk due to its effects on blood viscosity and vessel occlusion, but it is a genetic condition. Therefore, it is considered a non-modifiable risk factor, although managing the disease can help reduce complications.
C. Parent who has cardiovascular disease: Having a parent with cardiovascular disease increases one’s risk for stroke due to inherited genetic predisposition. However, this familial risk is not something the client can change, making it a non-modifiable factor.
D. Hypertension: Hypertension is the most significant modifiable risk factor for stroke. It can be managed through lifestyle changes, medication, and monitoring, thereby significantly reducing the client’s risk of future strokes.

A. Blood vessels constrict. B. Blood pressure increases. C. White blood cells are destroyed. D. Blood vessels become more permeable.

Correct Answer is D

Explanation

A. Blood vessels constrict: In anaphylaxis, blood vessels typically dilate rather than constrict. Vasodilation, especially in peripheral vessels, contributes to a rapid drop in blood pressure and impaired tissue perfusion.
B. Blood pressure increases: Anaphylaxis causes systemic vasodilation and increased vascular permeability, leading to significant hypotension. Blood pressure decreases, not increases, during an anaphylactic reaction.
C. White blood cells are destroyed: White blood cells are not destroyed during anaphylaxis. Instead, mast cells and basophils are activated and release histamine and other inflammatory mediators, triggering the allergic response.
D. Blood vessels become more permeable: Histamine release during anaphylaxis increases capillary permeability, allowing fluid to leak into tissues. This leads to swelling (e.g., angioedema), hypotension, and in severe cases, circulatory collapse.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing laboratory results and notes that a client has an elevated thyroid-stimulating hormone (TSH) level. Which of the following assessment findings would the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?

Correct Answer is D

Explanation

A nurse is caring for a client who has a peanut allergy. The client ate peanut butter and is now experiencing anaphylaxis. Which of the following physiological responses should the nurse-expect to occur?

Correct Answer is D

Explanation

A nurse is teaching a group of clients about risk factors for developing atrial flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?

A nurse is educating a client who has a central nervous system (CNS) tumor. Which of the following information should the nurse include in the teaching?

A nurse is reinforcing teaching to a newly licensed nurse about risk factors for subarachnoid hemorrhage (SAH). Which of the following should the nurse include in the teaching?

A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurologic effects?

A nurse is preparing to provide care for a client in the emergency department who has syndrome of inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

A nurse is completing an assessment on a client who reports severe fatigue, hair loss, and trouble remembering things. The nurse notes a butterfly-shaped rash on the client's face. Which of the following conditions is the client likely experiencing?

A client who has a history of migraines comes into the clinic reporting "tingling of the face" and blind spots in the eyes. Which of the following phases of a migraine is the client experiencing?

A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admitted to the hospital for renal calculi and reports their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in the abdominal girth?