The nurse has completed post-operative teaching for a client with a new vagal nerve stimulator (VNS). Which of the following statements by the client would indicate the need for more teaching?

My doctor can change the settings as needed.

I am so glad that I will never have another seizure.

This devise will send electrical signals to my brain.

I know a potential complication is a cough or throat spasm.

Answer and Explanation

The Correct Answer is B

A. It is correct that the doctor can change the settings of the VNS as needed using a special programming device. This is a true and expected understanding.
B. Saying "I will never have another seizure" indicates a misunderstanding. While the vagal nerve stimulator can reduce the frequency and severity of seizures, it is not a cure and does not guarantee complete seizure prevention. This statement reflects unrealistic expectations and suggests the need for further teaching.
C. The VNS sends electrical signals to the brain via the vagus nerve to help prevent seizure activity—this is an accurate understanding of its function.
D. Cough or throat spasm is a known side effect or complication of VNS, so this statement reflects appropriate understanding.

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Correct Answer is ["C","E","F"]

Explanation

A. Brittle nails are more commonly associated with hypothyroidism, not hyperthyroidism. In hyperthyroidism, nails tend to be stronger, although they may grow more quickly.
B. Cool skin is a sign of hypothyroidism, not hyperthyroidism. In hyperthyroidism, the skin is often warm and moist due to increased metabolic activity and the body's increased heat production.
C. Nervousness, anxiety, and irritability are common symptoms of hyperthyroidism due to the overstimulation of the sympathetic nervous system caused by elevated thyroid hormones.
D. Hoarseness is more commonly seen in hypothyroidism or in cases of thyroid nodules or goiter, not typically in hyperthyroidism.
E. Excessive perspiration is common in hyperthyroidism because of the increased metabolic rate and the body's tendency to generate more heat.
F. Exophthalmos (bulging of the eyes) is a hallmark symptom of Graves' disease, which is a common cause of hyperthyroidism. It occurs due to inflammation and swelling of the tissues around the eyes.

A. Heart disease B. Chronic lung disorders C. Neurological disorders D. Renal disease

Correct Answer is A

Explanation

A. Hypothyroidism increases the risk for heart disease. The low thyroid hormone levels can lead to higher levels of cholesterol (especially LDL cholesterol) and increased blood pressure, which are risk factors for cardiovascular disease. Additionally, hypothyroidism can slow down heart rate and decrease the heart's pumping efficiency, further contributing to heart problems.
B. Hypothyroidism does not directly increase the risk of chronic lung disorders. While it can cause respiratory issues such as shortness of breath or decreased exercise tolerance, it is not specifically linked to lung diseases like chronic obstructive pulmonary disease (COPD).
C. While hypothyroidism can cause symptoms such as cognitive impairment, depression, and slowing of neurological functions, it does not directly increase the risk of other neurological disorders.
D. While hypothyroidism can contribute to some kidney dysfunction (like mild hyponatremia), it is not a direct risk factor for renal disease. However, untreated hypothyroidism could lead to worsening kidney function over time.

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The nurse has completed post-operative teaching for a client with a new vagal nerve stimulator (VNS). Which of the following statements by the client would indicate the need for more teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with hyperthyroidism. Which of the following findings should the nurse expect? Select all that apply.

Correct Answer is ["C","E","F"]

Explanation

The nurse is assessing an older adult client with a diagnosis of hypothyroidism. The nurse understands that the client has an increased risk for which of the following?

Correct Answer is A

Explanation

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