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 D

Explanation

A. Legumes (such as beans, lentils, and peas) have a low glycemic index. They are high in fiber and protein, which helps slow the absorption of carbohydrates and keep blood sugar levels stable.
B. Grilled chicken is a protein source and does not significantly affect the glycemic index since proteins do not cause a rise in blood sugar.
C. Root vegetables like carrots, sweet potatoes, and beets generally have a moderate glycemic index. While they do impact blood sugar, they do not cause as significant an increase as high-glycemic foods.
D. Mashed potatoes, especially if prepared without the skin, have a high glycemic index. The processing of potatoes into a mashed form increases their rate of digestion and absorption, causing a more rapid increase in blood sugar levels

A. "A treadmill was given to me so I can run a few days a week." B. "The physical therapist taught me some stretching exercises." C. "I will start swimming at the health club." D. "I enjoy gardening. You should see my beautiful roses."

Correct Answer is A

Explanation

A. Running on a treadmill may not be the safest or most beneficial exercise for someone with Parkinson's disease. People with Parkinson's disease often experience motor symptoms like rigidity, bradykinesia (slowness of movement), and balance issues, which can make running difficult and increase the risk of falls. Low-impact exercises like walking, swimming, or cycling are generally recommended to maintain mobility and safety.
B. This is appropriate. Stretching exercises are important for maintaining flexibility and preventing muscle stiffness in Parkinson's disease. Physical therapy can help guide the client in exercises that are safe and beneficial.
C. This is a good choice. Swimming provides a low-impact, full-body workout that can help improve strength, flexibility, and cardiovascular fitness, which is beneficial for individuals with Parkinson's disease.
D. Gardening is an appropriate and enjoyable activity for someone with Parkinson's disease. It encourages movement and is a great way to engage in physical activity while also promoting emotional well-being.

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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?

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Naxlex Comprehensive Predictor Exams

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