A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?
A 25-year-old female who has metabolic syndrome
A 73-year-old male who has an iodine deficiency
A 35-year-old male who has Graves' disease
A 45-year-old female who has a family history of autoimmune disorders
The Correct Answer is C
Choice A reason:
While metabolic syndrome is associated with several health issues, it is not a direct risk factor for hyperthyroidism. Metabolic syndrome typically includes conditions like insulin resistance, hypertension, and dyslipidemia, which are more closely related to diabetes and cardiovascular diseases rather than thyroid function.
Choice B reason:
An iodine deficiency is commonly associated with hypothyroidism, not hyperthyroidism. Iodine is essential for the production of thyroid hormones, and a lack of it can lead to decreased hormone production and an underactive thyroid.
Choice C reason:
Graves' disease is the most common cause of hyperthyroidism. It is an autoimmune disorder where the immune system mistakenly attacks the thyroid gland, causing it to produce too much thyroid hormone. A 35-year-old male with Graves' disease would indeed be at high risk for hyperthyroidism.
Choice D reason:
While a family history of autoimmune disorders can increase the risk of developing autoimmune-related hyperthyroidism, it is not as direct a risk factor as having Graves' disease itself. Autoimmune disorders can have a genetic component, but having a family history does not guarantee the development of hyperthyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Resuming a regular diet immediately after the test may not always be recommended. Depending on the individual's condition and the specific instructions from the healthcare provider, there may be dietary restrictions before or after the procedure.
Choice B reason:
Encouraging fluid intake after the procedure is important because it helps to flush out the contrast dye used during the IVP. Adequate hydration can aid in the elimination of the dye and reduce the risk of kidney damage, especially in individuals with pre-existing kidney conditions.
Choice C reason:
This statement is incorrect. An IVP does not use high-frequency sound waves; it involves taking X-ray images of the urinary tract after a contrast dye is injected into a vein. The dye outlines the kidneys, ureters, and bladder on the X-ray images.
Choice D reason:
The presence of red blood cells in the urinalysis does not typically result in the cancellation of an IVP. However, certain conditions, such as an allergy to the contrast dye or severe kidney impairment, may contraindicate the use of an IVP.
Correct Answer is B
Explanation
Choice A reason:
Testicular torsion is a condition where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. It is not a typical complication following a prostatectomy. Testicular torsion is generally an acute condition that affects younger males and is unrelated to prostate surgery.
Choice B reason:
Erectile dysfunction (ED) is a common complication after prostatectomy. The surgery can damage the nerves and blood vessels that control erections, leading to ED. While nerve-sparing techniques aim to reduce this risk, some degree of erectile dysfunction is still possible after the procedure.
Choice C reason:
Cystitis, which is inflammation of the bladder, can occur after a prostatectomy due to the use of a catheter or as a result of the surgery itself. However, it is not as common or as significant a long-term complication as erectile dysfunction.
Choice D reason:
Paralytic ileus, a temporary cessation of bowel movements, can occur after any abdominal surgery due to the manipulation of the intestines or as a side effect of anesthesia. While it can be a complication of prostatectomy, it is typically resolved within a few days to weeks after surgery.
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