The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. The nurse should identify which of the following laboratory results is an expected finding?

Decreased thyrotropin receptor antibodies

Decreased free thyroxine index

Decreased triiodothyronine

Decreased thyroid-stimulating hormone (TSH)

Answer and Explanation

The Correct Answer is D

A. Decreased thyrotropin receptor antibodies: Graves' disease is characterized by the presence of thyrotropin receptor antibodies, so they are typically increased, not decreased.

B. Decreased free thyroxine index: Graves' disease typically results in increased levels of thyroid hormones, not decreased.

C. Decreased triiodothyronine: T3 levels may be elevated in Graves' disease due to increased thyroid hormone production.

D. Decreased thyroid-stimulating hormone (TSH): Graves' disease causes excessive thyroid hormone production, leading to suppressed TSH levels. TSH is typically low in hyperthyroidism because the thyroid gland is overactive and not being stimulated by the pituitary gland.

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Correct Answer is A

Explanation

A. Enoxaparin. Enoxaparin is a low molecular weight heparin used for prophylaxis against DVT. It works by inhibiting clotting factors and is commonly used postoperatively to prevent DVT formation.

B. Alteplase (tPA): Alteplase is a thrombolytic agent used to dissolve clots and is not used for DVT prophylaxis.

C. Warfarin: Warfarin requires monitoring and has a delayed onset, making it less suitable for immediate postoperative DVT prophylaxis.

D. Clopidogrel: Clopidogrel is an antiplatelet agent and is not typically used for DVT prophylaxis postoperatively.

A. Tell the client that being in foster care can help with coping. B. Explain how grief support groups could increase coping and social support. C. Encourage the client to ask the provider for medication. D. Suggest using the internet as a source for finding supportive friends

Correct Answer is B

Explanation

A. Tell the client that being in foster care can help with coping: Minimizes the client's emotional needs and may not address the grief adequately.

B. Explain how grief support groups could increase coping and social support. Grief support groups offer peer support and validation, which can be crucial for coping with loss and loneliness. Encouraging participation in support groups helps the client connect with others who have experienced similar losses and facilitates coping.

C. Encourage the client to ask the provider for medication: Not typically the first approach for addressing social support issues.

D. Suggest using the internet as a source for finding supportive friends: Safety and reliability of online friendships can vary, and in-person support is often more beneficial.

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The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. The nurse should identify which of the following laboratory results is an expected finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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