The clinic nurse is reviewing the client's symptoms which include hair loss, feeling tired, always being very cold, and having constipation. Which of the following complications may arise if the patient does not receive treatment?

Myxedema

Hypocalcemia

Pericarditis

Thyroid crisis

Answer and Explanation

The Correct Answer is A

Choice A reason: Untreated hypothyroidism progresses to myxedema, a severe state with slowed metabolism causing fatigue, cold intolerance, constipation, and hair loss from low thyroid hormone.

Choice B reason: Hypocalcemia results from hypoparathyroidism, not hypothyroidism, which affects metabolism, not calcium regulation directly, so it’s unrelated to these symptoms.

Choice C reason: Pericarditis may occur in severe hypothyroidism late, but it’s not the primary complication; myxedema encompasses the broader metabolic decline seen here.

Choice D reason: Thyroid crisis (storm) is a hyperthyroid emergency with fever and tachycardia, opposite to hypothyroidism’s slow symptoms like coldness and fatigue.

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Correct Answer is A

Explanation

Choice A reason: Nasogastric suction removes gastric acid (HCl), reducing hydrogen ions, raising pH, and causing metabolic alkalosis, a common post-surgical complication here.

Choice B reason: Panic attacks cause respiratory alkalosis from hyperventilation, lowering CO2, not metabolic alkalosis, which involves base excess, unrelated to this ABG.

Choice C reason: ESRD typically causes metabolic acidosis from acid retention, not alkalosis, as kidneys fail to excrete hydrogen, opposing this patient’s ABG findings.

Choice D reason: Epidural catheters manage pain with analgesics, not affecting acid-base balance or causing metabolic alkalosis, irrelevant to the ABG shift observed.

A. Maintain oxygen saturations greater than or equal to 92% B. Administer ibuprofen C. Administer enteric-coated acetaminophen D. Obtain an EKG

Correct Answer is D

Explanation

Choice A reason: Maintaining oxygen saturation helps symptoms but doesn’t diagnose the cause (e.g., MI), delaying critical evaluation of atypical pain and dyspnea.

Choice B reason: Ibuprofen relieves pain but risks bleeding in potential MI, not addressing cardiac etiology of jaw, back pain, and shortness of breath urgently.

Choice C reason: Acetaminophen eases pain but doesn’t assess or treat potential cardiac ischemia, missing the diagnostic priority for these MI-like symptoms.

Choice D reason: An EKG identifies cardiac ischemia (e.g., MI) in atypical pain (jaw, back), dyspnea, and nausea, guiding urgent treatment, the priority action here.

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The clinic nurse is reviewing the client's symptoms which include hair loss, feeling tired, always being very cold, and having constipation. Which of the following complications may arise if the patient does not receive treatment?

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Naxlex Comprehensive Predictor Exams

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