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
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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Related Questions
Correct Answer is D
Explanation
A. A 75-year-old female client who has diabetes mellitus type 1: While older age and gender (female) may slightly increase the risk of thyroid cancer, diabetes mellitus type 1 is not a known significant risk factor for thyroid cancer.
B. A 68-year-old male client who has testicular cancer: Testicular cancer itself is not strongly associated with an increased risk of thyroid cancer. While cancer survivors may face a higher risk for secondary cancers, testicular cancer is not typically linked to thyroid cancer.
C. A 48-year-old male client with a history of hyperthyroidism: Hyperthyroidism does not increase the risk for thyroid cancer. In fact, hyperthyroidism is more commonly associated with conditions like Graves' disease and toxic goiter, not thyroid cancer.
D. A 40-year-old female client who received radiation treatment for breast cancer 8 years ago: Previous radiation treatment, particularly at a young age, is a well-established risk factor for developing thyroid cancer. Radiation exposure can damage the DNA in thyroid cells, leading to an increased risk of cancer later in life.
Correct Answer is ["30"]
Explanation
- 12 units of insulin should be delivered every hour.
- In 250 mL of the IV solution, there are 100 units of insulin.
- If 100 units are in 250 mL, then to find the volume for 1 unit, we divide the total volume by the total units: 250 mL ÷ 100 units = 2.5 mL/unit
- Since we need to deliver 12 units per hour, and each unit is in 2.5 mL, we multiply the desired units per hour by the volume per unit: 12 units/hour × 2.5 mL/unit = 30 mL/hour
- Rounding to the nearest whole number, the IV pump should be programmed to deliver 30 mL per hour.
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