For each client finding below, click to specify if the finding is consistent with the disease process

Heart rate is 54, patient has complained of constipation and poor appetite.

Patient is anxious and irritable with skin moist and warm

Nonpitting edema noted in the extremities with thinning hair

Patient has recently lost over 10 pounds in the last month and has noticed a fine tremor in the hands

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Heart rate is 54, patient has complained of constipation and poor appetite: Myxedema, a severe form of hypothyroidism, causes bradycardia due to decreased metabolism. Constipation and poor appetite occur as slowed metabolism reduces gastrointestinal motility and hunger.
Patient is anxious and irritable with skin moist and warm: Graves Disease causes hyperthyroidism, increasing metabolic rate and sympathetic activity. This leads to anxiety, irritability, and warm, moist skin from increased blood flow and sweating. These findings show the hypermetabolic state of Graves.
Nonpitting edema noted in the extremities with thinning hair: Nonpitting edema results from mucopolysaccharide buildup in hypothyroidism. Thinning hair occurs due to thyroid hormone deficiency affecting hair follicles. These are classic signs of advanced hypothyroidism.
Patient has recently lost over 10 pounds in the last month and has noticed a fine tremor in the hands: Weight loss despite increased appetite is typical of Graves Disease due to elevated metabolism. Fine hand tremors result from increased beta-adrenergic stimulation. These symptoms indicate hyperthyroidism.

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Correct Answer is C

Explanation

A. Hypoactive deep-tendon reflexes: Hypoactive reflexes are typically associated with hypothyroidism, not levothyroxine overdose. An overdose leads to symptoms of hyperthyroidism, which usually cause hyperactive or brisk reflexes rather than diminished responses.

B. Constipation: Constipation is a common symptom of hypothyroidism due to slowed gastrointestinal motility. Levothyroxine overdose tends to increase metabolism, often resulting in diarrhea or increased bowel movements rather than constipation.

C. Insomnia: Insomnia is a classic symptom of levothyroxine overdose caused by excessive thyroid hormone leading to increased metabolic rate and central nervous system stimulation. It reflects a hyperthyroid state and requires careful dose adjustment.

D. Drowsiness: Drowsiness is more commonly associated with hypothyroidism or medication side effects that depress the central nervous system. Levothyroxine overdose typically causes symptoms of hyperactivity and nervousness, not sedation.

A. RBC count B. Calcium C. Amylase D. Magnesium

Correct Answer is C

Explanation

A. RBC count: Acute pancreatitis does not typically cause an increase in red blood cell count. Inflammation or bleeding complications may affect RBCs, but an elevation is not a characteristic finding.

B. Calcium: Calcium levels are often decreased (hypocalcemia) in acute pancreatitis due to fat saponification and binding of calcium to damaged pancreatic tissue, rather than elevated.

C. Amylase: In acute pancreatitis, the inflamed and damaged pancreas releases large amounts of amylase into the bloodstream, causing a significant elevation in serum amylase levels. This is one of the primary diagnostic markers for acute pancreatitis.

D. Magnesium: Magnesium levels are not specifically elevated in acute pancreatitis and usually remain within normal limits unless complicated by other conditions; it is not a diagnostic marker for this disorder.

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For each client finding below, click to specify if the finding is consistent with the disease process

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?

Correct Answer is C

Explanation

The nurse is caring for a patient with diabetes. Exhibits Exhibits Only choose one option (anticipated, nonessential, contraindicated) for each potential order. Each option will be used at least once.

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

The nurse is caring for a patient with diabetes. Exhibits Complete the following sentence by choosing from the list of options. The client is at highest risk for developing dropdown as evidence by the client's dropdown.

A patient with Type 2 Diabetes has been diagnosed with Hyperglycemic Hyperosmolar Syndrome (HHS). The patient's spouse asks the RN which symptoms characterize this disorder. Which are the most appropriate responses by the RN? Select all that apply.

A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?