The nurse is assessing a client newly diagnosed with hyperthyroidism. The nurse should expect which of the following?

Low serum thyroxine (T4) level

Decreased serum thyroid stimulating hormone (TSH)

Tachycardia or fine hand tremor

Elevated serum thyroid stimulating hormone (TSH)

Elevated serum thyroxine (T4)

Answer and Explanation

The Correct Answer is C

A. Low serum thyroxine (T4) level In hyperthyroidism, the serum thyroxine (T4) level is typically elevated due to excessive production of thyroid hormones.
B. Decreased serum thyroid stimulating hormone (TSH) In hyperthyroidism, the body produces excess thyroid hormones (T3 and T4), which negatively feedback to the pituitary gland and result in decreased TSH levels. This is a key diagnostic finding.
C. Tachycardia or fine hand tremor Hyperthyroidism often causes symptoms like tachycardia (increased heart rate) and a fine hand tremor due to the overstimulation of the body's metabolism and sympathetic nervous system.
D. Elevated serum thyroid stimulating hormone (TSH) In hyperthyroidism, the TSH level is typically low due to negative feedback from the excess thyroid hormones.
E. Elevated serum thyroxine (T4) In hyperthyroidism, the serum thyroxine (T4) level is elevated because the thyroid gland is producing too much thyroid hormone.

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Correct Answer is C

Explanation

A. The statement active rewarming may increase oxygen demands is true for some conditions, like hypothermia, but it is not the primary reason to avoid heating pads for a client with myxedema. While rewarming can increase oxygen demands, the primary concern with heating pads is the risk of burns due to impaired thermoregulation in myxedema.
B. This is not relevant to the scenario. The concern with heating pads is not about choking hazards but about burns and safe rewarming.
C. In myxedema, the body’s ability to regulate temperature and respond to thermal stimuli is impaired due to severe hypothyroidism. This puts the client at a higher risk for burns if heating pads are used. Using warm blankets instead of heating pads ensures a safer, more gradual rewarming process.
D. While warm blankets may indeed be more comforting, the primary reason for using them instead of heating pads is to avoid the risk of burns due to impaired temperature regulation.

A. Cleanse the injection site with an isopropyl alcohol wipe. B. Examine the IV solution for sediment and crystals. C. Mix the solution with fruit juice and provide the client with a straw. D. Obtain the client's vital signs prior to administration.

Correct Answer is C

Explanation

A. Saturated solution of potassium iodide (SSKI) is typically administered orally, not by injection. Therefore, cleansing an injection site is not relevant to this medication.
B. SSKI is not administered intravenously, so this step is unnecessary. Potassium iodide is given orally, so examining it for IV-related concerns such as crystals is not applicable.
C. SSKI has an unpleasant taste, so it is commonly mixed with fruit juice (or another liquid like water) to make it more palatable. Using a straw can help minimize the direct contact with the teeth and reduce the risk of irritation to the mouth and throat.
D. While monitoring vital signs is important for assessing the overall health status of the client, it is not routinely required specifically prior to administering SSKI, unless there are indications of a more serious issue or pre-existing conditions like thyroid dysfunction that may require more monitoring. This action would be more relevant for medications that directly affect hemodynamics or electrolyte balance, which is not a typical concern for SSKI.

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The nurse is assessing a client newly diagnosed with hyperthyroidism. The nurse should expect which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client receiving treatment for myxedema. The nurse should explain that warm blankets are used to warm the client instead of heating pads for which of the following reasons?

Correct Answer is C

Explanation

The nurse is preparing to administer prescribed saturated solution of potassium iodide (SSKI). Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse is assessing a client taking prescribed propylthiouracil (PTU) therapy. What should the nurse further assess?

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