In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Advise the client to include aerobic exercise along with dietary changes.

Emphasize the need to reduce caloric intake, rather than increasing it.

Instruct the client to also increase the daily intake of dietary fiber.

Encourage the client to continue these changes in a dietary plan.

None

Answer and Explanation

The Correct Answer is D

Rationale for A: Advising the client to include aerobic exercise could be beneficial as it may help in weight management and overall health. However, it does not directly address the dietary concerns associated with hyperthyroidism.
Rationale for B: Reducing caloric intake is generally not recommended for hyperthyroidism as the condition often leads to weight loss and increased metabolism; therefore, patients may require more calories to maintain a healthy weight.
Rationale for C: Increasing dietary fiber is beneficial for general health and can aid digestion, but it is not the primary dietary change needed for managing hyperthyroidism.
Rationale for D: Encouraging the client to continue increasing protein and caloric intake is appropriate, as hyperthyroidism can cause weight loss and muscle wasting. Adequate protein and caloric intake can help mitigate these effects.

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Correct Answer is B

Explanation

A. Provide budgeting strategies. While this can be helpful, it does not address the immediate need for resources and assistance with both medications and food.
B. Consult with social services. Social services can help the client access resources such as food assistance programs, medication assistance programs, and other community resources to ensure the client’s nutritional and medical needs are met.
C. Call the client's nearest relative. This might provide some immediate support, but it is not a comprehensive solution. The relative may not be able to provide the needed resources or may not be in a position to help effectively.
D. Alert the adult protection agency. While this step might be necessary if there is evidence of neglect or abuse, it is not the most appropriate first action in a situation where the client needs assistance with resources.

A. "The bruises on my arms are all gone." B. "My feet don't tingle like they used to." C. "My tummy seems so much smaller now." D. "I can see at night when I wake up now."

Correct Answer is D

Explanation

A. "The bruises on my arms are all gone." This statement is more indicative of adequate Vitamin C intake, as Vitamin C is essential for collagen synthesis and wound healing, which can affect bruising.
B. "My feet don't tingle like they used to." Tingling in the extremities is often associated with deficiencies in B vitamins, particularly B12, rather than Vitamin A.
C. "My tummy seems so much smaller now." This statement does not directly relate to Vitamin A status. It could refer to a variety of other health improvements or conditions.
D. "I can see at night when I wake up now." Night vision improvement is a classic sign of adequate Vitamin A intake, as Vitamin A is crucial for the maintenance of normal vision, particularly in low-light conditions.

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In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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