The nurse has taught a client with hypothyroidism about thyroid replacement therapy. Which of the following statements by the client would indicate the need for more teaching?

"It would be a good idea to increase fiber in my diet."

"After a six-month course of this treatment I can stop taking the medication."

"I know that I need to be careful when taking other medications."

"I will need to have blood drawn to monitor my levels."

Answer and Explanation

The Correct Answer is B

A. Increasing fiber can be beneficial for clients with hypothyroidism, as constipation is a common symptom of this condition. It helps improve bowel movements and overall gastrointestinal function.
B. Hypothyroidism is a lifelong condition, and thyroid replacement therapy is typically needed for life. The client must understand that they cannot stop taking the medication after a set period unless instructed by a healthcare provider.
C. Some medications can interfere with thyroid hormone replacement therapy, so it is important to be cautious and consult a healthcare provider before taking any new medications.
D. Regular monitoring of thyroid hormone levels is important to ensure that the thyroid replacement therapy is at the correct dosage. This helps prevent under- or over-treatment.

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Correct Answer is A

Explanation

A. The HgbA1C result of 6.9% is slightly above the recommended target of less than 7% for many people with diabetes. While it may be an improvement compared to higher levels, it indicates that better dietary control (such as managing carbohydrate intake, portion sizes, and meal timing) and possibly more rigorous lifestyle modifications are needed to bring the blood sugar levels within optimal range.
B. While insulin adjustments may be necessary for some individuals, an HgbA1C of 6.9% does not immediately suggest the need for more insulin. The decision to increase insulin depends on the individual’s specific needs, blood glucose patterns, and current treatment plan.
C. An HgbA1C of 6.9% is not an indication that an insulin pump is necessary. Insulin pumps are used for specific situations where more precise insulin delivery is needed or for people who have difficulty managing diabetes with multiple daily injections. The need for an insulin pump is not typically based on a single HgbA1C result.
D. While a result of 6.9% is relatively close to the target goal for many people with diabetes, it is slightly above the ideal target of <7%. This result suggests that while the client’s blood sugar is somewhat controlled, there is room for improvement to achieve optimal control.

A. This type of diabetes is caused by a decrease in endogenous insulin and/or increased insulin resistance. B. This type of diabetes can be medication-induced or related to a medical condition such as pancreatic function or hormonal abnormalities. C. Gestational diabetes is caused by the presence of antibodies to insulin so exogenous insulin is needed. D. Gestational diabetes is a type of diabetes where glucose intolerance is often transitory.

Correct Answer is D

Explanation

A. Gestational diabetes (GDM) is indeed characterized by insulin resistance, which often worsens as the pregnancy progresses. However, the problem is not always a decrease in endogenous insulin but more of a relative insulin resistance in response to the hormones produced during pregnancy.
B. This description is more fitting for other types of diabetes, such as type 2 diabetes, where certain medications or conditions (like pancreatic disease or hormonal issues) can affect insulin production or action. Gestational diabetes is not typically caused by these factors.
C. Gestational diabetes is not caused by antibodies to insulin. It is a form of diabetes that develops during pregnancy due to hormonal changes that lead to insulin resistance. Some women may need insulin therapy to manage it, but this is not due to antibodies to insulin.
D. Gestational diabetes is a type of diabetes where glucose intolerance is often transitory. Gestational diabetes typically develops during pregnancy and often resolves after childbirth. However, women who have had gestational diabetes are at an increased risk of developing type 2 diabetes later in life, even though the condition may resolve postpartum.

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The nurse has taught a client with hypothyroidism about thyroid replacement therapy. 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 reviewing the hemoglobin A1C (HgbA1C) results that showed 6.9% with a client who has diabetes mellitus. The client asked the nurse what the result means. Which of the following statements by the nurse is correct?

Correct Answer is A

Explanation

The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

Correct Answer is D

Explanation

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