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 D

Explanation

A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.

A. Cheese products. B. Egg white products. C. Soybean products. D. Shellfish products.

Correct Answer is C

Explanation

A. Cheese products. Vegans do not consume any animal products, including dairy, so cheese products are not suitable for a vegan diet.
B. Egg white products. Vegans avoid all animal-derived foods, including eggs, so egg white products are also not suitable.
C. Soybean products. Soybeans are a versatile plant-based protein source that can be used in various forms such as tofu, tempeh, and edamame. These products are essential in a vegan diet as they provide a good source of protein and other nutrients that might otherwise be lacking.
D. Shellfish products. Vegans do not consume any animal products, including shellfish, making this option inappropriate for a vegan diet.

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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 D

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Correct Answer is C

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