The nurse caring for a client with thyroid disease notes a current T4 level of 2.9 mcg/dL (normal range: 5-11.5 mcg/dL). Which findings are consistent with this result?

Tachycardia and weight gain

Diarrhea and hypoglycemia

Hypotension and periorbital edema

Tremors and dyskinesias

Answer and Explanation

The Correct Answer is C

Choice A reason: Tachycardia and weight gain are not typically associated with low T4 levels. Tachycardia and weight loss are more commonly seen in hyperthyroidism, where T4 levels would be elevated.

Choice B reason: Diarrhea and hypoglycemia are not directly related to low T4 levels. Diarrhea can be a symptom of hyperthyroidism, while hypoglycemia is not commonly associated with thyroid function.

Choice C reason: Hypotension and periorbital edema are findings that can be associated with hypothyroidism, which is consistent with the low T4 level of 2.9 mcg/dL. Hypothyroidism can lead to reduced cardiac output and systemic vascular resistance, causing hypotension. Periorbital edema is also a common sign of hypothyroidism due to mucopolysaccharide deposition in the skin.

Choice D reason: Tremors and dyskinesias are more commonly associated with hyperthyroidism, not hypothyroidism. Elevated levels of thyroid hormones can lead to these neurological symptoms.

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Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Monitoring platelet count is important in sepsis as thrombocytopenia can occur due to disseminated intravascular coagulation (DIC).

Choice B reason: Urine specific gravity is not typically monitored for sepsis unless there is a concern for renal function or fluid balance.

Choice C reason: Lactate levels are monitored in sepsis to assess the severity of septic shock and tissue hypoperfusion.

Choice D reason: PaO2 is monitored to assess oxygenation status, which can be compromised in sepsis due to respiratory dysfunction.

Choice E reason: Serum ammonia is not typically monitored for sepsis unless there is a concern for hepatic function or encephalopathy.

A. Tachycardia B. Intolerance to cold C. Weight loss D. Fine tremors of fingers and hands

Correct Answer is B

Explanation

Choice A reason: Tachycardia, or rapid heart rate, is typically a symptom of an overdose of levothyroxine, not an underdose.

Choice B reason: Intolerance to cold is a common symptom of hypothyroidism, which occurs when the thyroid hormone levels are too low, indicating that the levothyroxine dose may be insufficient.

Choice C reason: Weight loss is more commonly associated with hyperthyroidism or an excessive dose of levothyroxine.

Choice D reason: Fine tremors of fingers and hands are also more indicative of hyperthyroidism or too high a dose of levothyroxine.

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The nurse caring for a client with thyroid disease notes a current T4 level of 2.9 mcg/dL (normal range: 5-11.5 mcg/dL). Which findings are consistent with this result?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which diagnostic studies will the nurse monitor for the client being treated for sepsis? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

The nurse suspects the client's dose of levothyroxine (Synthroid) is too low when the client displays which symptom?

Correct Answer is B

Explanation

The nurse is admitting a client with a thyroid disorder who presents with periorbital edema, cold intolerance, and weight gain. Which intervention should the nurse include in this client's plan of care?

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