After teaching a client who is recovering from a complete thyroidectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional instruction?

“I may need calcium replacement after surgery."

“I need to take thyroid hormones for the rest of my life."

“After surgery. I won't need to take thyroid medication."

“I can receive pain medication if I feel that I need it."

Answer and Explanation

The Correct Answer is C

A. “I may need calcium replacement after surgery.": After a complete thyroidectomy, there is a risk of damage to the parathyroid glands, which regulate calcium levels. Clients may require calcium supplementation if their parathyroid function is affected.

B. “I need to take thyroid hormones for the rest of my life.": After a complete thyroidectomy, the client will require lifelong thyroid hormone replacement to maintain normal metabolic function, as the body no longer produces thyroid hormones.

C. “After surgery, I won't need to take thyroid medication.": After a complete thyroidectomy, the client will definitely need thyroid hormone replacement for the rest of their life, as their body can no longer produce thyroid hormones naturally.

D. “I can receive pain medication if I feel that I need it.": It is important for the nurse to ensure the client knows that pain management is available as needed after surgery to help with comfort and recovery.

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Correct Answer is B

Explanation

A. The patient has recently received a raise and a promotion at work: Positive life events, such as a raise or promotion, are less likely to cause significant worsening of symptoms. Positive changes are generally less impactful than negative stressors on thyroid conditions.

B. The patient has recently lost their job and their mother has recently been diagnosed with breast cancer: Losing a job and dealing with a loved one's serious illness can lead to significant stress, which can contribute to increased thyroid hormone production and worsen hyperthyroid symptoms.

C. The patient has recently changed their bedtime routine and now is getting 7-8 hours of sleep each night: Adequate rest (7-8 hours per night) is beneficial for overall health, including thyroid function. Consistent sleep routine can help improve symptoms of Graves' disease.

D. The patient has recently lost 10 lbs because they have modified their dietary intake and began walking 1-2 miles each day: Exercise and weight loss from healthy lifestyle changes (diet and walking) are generally beneficial and can improve symptoms of Graves' disease.

A. gestational, requiring therapy for a very short time B. type 1, not stable with insulin administration only C. type 1 and type 2, not controlled by diet and exercise D. type 2, not controlled with diet and exercise.

Correct Answer is D

Explanation

A. Gestational, requiring therapy for a very short time: Oral hypoglycemic agents are typically not recommended for gestational diabetes, as insulin is usually the preferred treatment for managing blood glucose levels during pregnancy.

B. Type 1, not stable with insulin administration only: Type 1 diabetes is characterized by insulin deficiency. Oral hypoglycemic agents are designed for type 2 diabetes, where the body still produces insulin but has insulin resistance.

C. Type 1 and type 2, not controlled by diet and exercise: Oral hypoglycemic agents are typically not used for type 1 diabetes. These medications are primarily for type 2 diabetes, when diet and exercise alone are insufficient to manage blood sugar.

D. Type 2, not controlled with diet and exercise: Oral hypoglycemic agents are used in the treatment of type 2 diabetes when diet and exercise alone are insufficient to manage blood glucose levels. These medications help improve insulin sensitivity, stimulate insulin production, or decrease glucose production in the liver.

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After teaching a client who is recovering from a complete thyroidectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While assessing a client with Graves' disease, the nurse notes that which of the following situations may contribute to making the symptoms worse:

Correct Answer is B

Explanation

In caring for a client who is taking oral hypoglycemic agents, the nurse recognizes these medications are used in the treatment of which type of diabetes?

Correct Answer is D

Explanation

The nurse is caring for a patient scheduled for a thyroidectomy. Which instruction should be included in the preoperative care?

A patient has type 1 diabetes (T1DM). The nurse is teaching her the early signs and symptoms of an insulin overdose, which include:

A client has flushed skin, bulging eyes and perspiration, and states that he has been "irritable" and having palpitations. The nurse interprets these findings as suggesting:

A client diagnosed with hyperthyroidism will be taking propylthiouracil (PTU). The nurse provides medication instructions and determines that the client understands the information if the client states that it is most important to report which of the following symptoms to the physician?

A client newly diagnosed with type 2 diabetes mellitus has a nursing diagnosis of Knowledge deficit: diabetes, medical regimen, diet, exercise, and self-care management skills. Which nursing goal is appropriate for this client?

Which action should the nurse take if Sarah reports difficulty swallowing after treatment?