The nurse is assessing an older adult client with a diagnosis of hypothyroidism. The nurse understands that the client has an increased risk for which of the following?

Heart disease

Chronic lung disorders

Neurological disorders

Renal disease

Answer and Explanation

The Correct Answer is A

A. Hypothyroidism increases the risk for heart disease. The low thyroid hormone levels can lead to higher levels of cholesterol (especially LDL cholesterol) and increased blood pressure, which are risk factors for cardiovascular disease. Additionally, hypothyroidism can slow down heart rate and decrease the heart's pumping efficiency, further contributing to heart problems.
B. Hypothyroidism does not directly increase the risk of chronic lung disorders. While it can cause respiratory issues such as shortness of breath or decreased exercise tolerance, it is not specifically linked to lung diseases like chronic obstructive pulmonary disease (COPD).
C. While hypothyroidism can cause symptoms such as cognitive impairment, depression, and slowing of neurological functions, it does not directly increase the risk of other neurological disorders.
D. While hypothyroidism can contribute to some kidney dysfunction (like mild hyponatremia), it is not a direct risk factor for renal disease. However, untreated hypothyroidism could lead to worsening kidney function over time.

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Correct Answer is C

Explanation

A. Dextrose is used to treat hypoglycemia (low blood sugar), and there is no indication from the vital signs provided that the client is hypoglycemic.
B. Acetaminophen is an antipyretic (fever reducer), but the priority is not to treat the fever immediately in this case. The client's blood pressure and heart rate need to be addressed first.
C. Propranolol is a beta-blocker that can help reduce both heart rate and blood pressure. The client has severe hypertension (200/110) and tachycardia (heart rate of 160), which may indicate a hypertensive crisis or severe adrenergic overactivity. Propranolol can help lower the heart rate and blood pressure quickly, which is crucial to avoid further cardiovascular complications.
D. Potassium iodide is used in cases of thyroid storm or exposure to radioactive iodine. It is not appropriate for this situation, as the symptoms do not indicate a thyroid emergency or radiation exposure.

A. "Bedtime snacks are provided to prevent hypoglycemic reaction at night." B. "Food should be provided to the client at the peak action time of the insulin." C. "NPH and regular insulin can be combined in one syringe by first drawing up the NPH. D. "Clients should be provided information about hypoglycemia and its management.

Correct Answer is B

Explanation

A. Bedtime snacks are often recommended for clients using insulin to help prevent nighttime hypoglycemia, especially if they are taking insulin that has a peak action during the night (e.g., NPH insulin).
B. The timing of food intake should not necessarily coincide with the peak action of the insulin. For example, rapid-acting insulins should be given around meal times, but the timing of food isn't strictly tied to the insulin peak. It's more important to match the insulin to meal timing to help with glucose control.
C. When mixing NPH (a longer-acting insulin) and regular insulin (a shorter-acting insulin), the correct technique is to draw up the regular insulin first to avoid contamination of the regular insulin with the NPH insulin, which is cloudy.
D. Educating clients about the signs, symptoms, and management of hypoglycemia is essential to safe insulin therapy.

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The nurse is assessing an older adult client with a diagnosis of hypothyroidism. The nurse understands that the client has an increased risk for which of the following?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client whose blood pressure is 200/110, heart rate is 160, respiratory rate is 24 and temperature is 102°F. Which of the following medications should the nurse administer first?

Correct Answer is C

Explanation

The nurse attended a staff education conference about insulin therapy for diabetic management. Which of the following statements by the nurse would indicate that more education is needed?

Correct Answer is B

Explanation

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