The nurse is assessing a client with hyperthyroidism. Which of the following findings should the nurse expect? Select all that apply.
Brittle nails
Cool skin
Nervousness
Hoarseness
Perspiration
Exophthalmos
Correct Answer : C,E,F
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Significant impairments from dyskinesia are typically a side effect of long-term levodopa therapy, not an expected outcome following deep brain stimulation. DBS is intended to reduce dyskinesias.
B. The presence of significant tremors post-procedure would indicate that the DBS may not be effectively managing the Parkinson's symptoms. Successful DBS typically reduces tremors.
C. One of the benefits of DBS is that it often allows for a reduction in the dosage of levodopa, not an increase.
D. Improving tremor and rigidity is an expected outcome of DBS. This surgical procedure delivers electrical impulses to targeted areas in the brain, which helps regulate abnormal brain activity and significantly reduces motor symptoms such as tremor, rigidity, and bradykinesia in clients with Parkinson’s Disease.
Correct Answer is ["A","C","D","F"]
Explanation
A. A quiet, dark environment is often helpful for clients with headaches, especially migraines. Bright lights and loud noises can exacerbate symptoms, so minimizing environmental stimuli can help the client rest and reduce discomfort.
B. Heat is typically not recommended for migraine headaches, as it can sometimes worsen the pain. For migraines, cold compresses or ice packs on the forehead may provide more relief. Heat is generally more effective for tension headaches or muscle-related pain.
C. Analgesics such as over-the-counter pain relievers (e.g., acetaminophen, ibuprofen) or prescribed medications can help manage headache pain and are often part of the treatment plan for headaches.
D. A gentle massage can help relieve the muscle tension that often contributes to tension headaches. Massaging the neck, shoulders, and scalp may help reduce headache symptoms.
E. Keeping the head of the bed flat is not generally recommended for headache relief. In fact, elevating the head of the bed slightly may help relieve pressure and improve comfort, especially in cases of sinus headaches or headaches related to congestion.
F. Many clients with headaches, especially migraines, may experience nausea or vomiting. Administering prescribed antiemetic medications can help alleviate these symptoms and improve the client’s comfort.
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