At the beginning of the shift, a nurse receives report on the following four patients. Which patient should the nurse place priority on assessing first?

A 40-year-old patient with Cushing syndrome and gynecomastia.

A 58-year-old patient with Addison's disease who is exhibiting confusion.

A 45-year-old patient with Graves' disease and exophthalmos.

A 47-year-old patient with hypothyroidism who is asking for a warm blanket.

Answer and Explanation

The Correct Answer is B

A. A 40-year-old patient with Cushing syndrome and gynecomastia: While Cushing syndrome requires ongoing management and monitoring, gynecomastia alone is not an urgent concern compared to the symptoms described in option B.
B. A 58-year-old patient with Addison's disease who is exhibiting confusion: Addison's disease can lead to adrenal insufficiency, and confusion could indicate an adrenal crisis or severe electrolyte imbalance. This is a critical situation requiring immediate assessment to prevent severe complications.
C. A 45-year-old patient with Graves' disease and exophthalmos: Graves' disease with exophthalmos is significant but does not typically represent an immediate life-threatening condition compared to the symptoms associated with Addison's disease.
D. A 47-year-old patient with hypothyroidism who is asking for a warm blanket: This patient’s request for a warm blanket suggests they might be experiencing symptoms related to hypothyroidism, such as feeling cold. However, this is less urgent compared to the confusion and potential crisis in option B.

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Correct Answer is B

Explanation

A. Hyperthermia: This is not commonly associated with hypothyroidism. Hypothyroidism is more likely to lead to a decreased metabolic rate and hypothermia rather than hyperthermia.
B. Hyperlipidemia: This is a common condition associated with hypothyroidism. Hypothyroidism can lead to increased levels of cholesterol and triglycerides due to decreased metabolism.
C. Agitation: Hypothyroidism typically presents with symptoms such as fatigue and depression rather than agitation. Agitation is more commonly associated with hyperthyroidism.
D. Insomnia: Insomnia is more often associated with hyperthyroidism. Hypothyroidism usually leads to symptoms like fatigue and sleepiness rather than insomnia.

A. I will need to wear a medical alert bracelet at all times. B. I will need to hold my hydrocortisone dose if I have an infection. C. I will take my hydrocortisone tablets twice a day. D. I will need to eat a high-sodium diet.

Correct Answer is B

Explanation

A. I will need to wear a medical alert bracelet at all times: This statement is correct. Clients with Addison's disease should wear a medical alert bracelet to inform healthcare providers of their condition in case of an emergency, as it could impact treatment decisions.
B. I will need to hold my hydrocortisone dose if I have an infection: This statement indicates a need for additional teaching. Clients with Addison's disease should not hold their hydrocortisone dose if they have an infection. In fact, they may need to increase their dose during periods of stress or illness to manage their condition effectively.
C. I will take my hydrocortisone tablets twice a day: This statement is correct. Hydrocortisone is typically taken in divided doses to mimic the natural release of cortisol from the adrenal glands.
D. I will need to eat a high-sodium diet: This statement is correct. Clients with Addison's disease often need to increase their sodium intake, as they may have difficulties retaining sodium due to adrenal insufficiency.

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At the beginning of the shift, a nurse receives report on the following four patients. Which patient should the nurse place priority on assessing first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client in a primary care provider's office has a new diagnosis of hypothyroidism. The nurse understands that the client should be screened for which of the following conditions common in people who have hypothyroidism?

Correct Answer is B

Explanation

A nurse is providing education to a client who has a new diagnosis of Addison's disease. The nurse determines that additional teaching is needed when the client makes which of the following statements?

Correct Answer is B

Explanation

A nurse is providing education to a client who has Graves' disease and who will be returning home after receiving their first dose of radioactive iodine therapy. Which of the following information should the nurse include?

A nurse is providing dietary teaching for a client who has Graves' disease. Which of the following statements made by the client indicates a need for further teaching by the nurse?

A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?

A nurse is admitting a client who is experiencing an Addisonian crisis. Which of the following should the nurse anticipate an order for?

A nurse is caring for a client who has hypokalemia, hyperglycemia, and hypertension. A diagnosis of Cushing syndrome is suspected. Which of the following tests would the nurse anticipate the health care provider will order to help confirm the diagnosis of Cushing syndrome?

A 28-year-old female client who is in the first trimester of pregnancy is diagnosed with hyperthyroidism. Which of the following would be the preferred treatment for this client?

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