A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should the nurse assess?

Adrenal

Parotid

Thyroid

Parathyroid

Answer and Explanation

The Correct Answer is C

A.   Adrenal: The adrenal glands produce hormones like cortisol and adrenaline, but not thyroxine.
B.   Parotid: The parotid glands are salivary glands and are unrelated to thyroxine production.
C.   Thyroid: The thyroid gland produces thyroxine (T4), and elevated levels of this hormone indicate that the thyroid gland should be assessed for potential hyperthyroidism.
D.   Parathyroid: The parathyroid glands regulate calcium levels but do not produce thyroxine.

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Correct Answer is B

Explanation

A. Lymph nodes are usually described as enlarged or swollen, not "lumped." This term is not typically used in the description of lymphadenopathy.
B. In cases of acute infection, lymphadenopathy is most often unilateral and localized to the area of infection. For example, if there is a throat infection, the lymph nodes on the same side of the neck are more likely to be enlarged.
C. Lymph nodes that are soft and nontender are more indicative of chronic conditions such as lymphoma or metastasis. In acute infections, lymph nodes tend to be firm and tender.
D. Firm but freely movable nodes may be indicative of chronic conditions or noninfectious causes. Acute infection typically leads to tender, swollen lymph nodes that may feel rubbery or hard but are usually movable.

A. Improper positioning B. Fatigue or weakness C. Respiratory distress D. Increased comfort and relaxation

Correct Answer is C

Explanation

A. Improper positioning does not apply in this case; the position described is often associated with respiratory distress.
B. Fatigue or weakness may be present, but the described position is more indicative of difficulty breathing.
C. Respiratory distress is suggested by the patient leaning forward, which is a common position for patients with shortness of breath as it helps expand the lungs and ease breathing.
D. Increased comfort and relaxation is unlikely; this position is more often associated with discomfort and difficulty breathing.

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A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should the nurse assess?

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Naxlex Comprehensive Predictor Exams

During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?

Correct Answer is B

Explanation

Mrs. Helms is sitting on the side of the bed, leaning forward, with her arms on the bedside table. What would this indicate to you?

Correct Answer is C

Explanation

The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination?

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