The nurse is caring for a 32-year-old woman who has an enlarged thyroid, bulging eyes, and elevated T3 and T4 levels and states she has not had a menstrual cycle in 6 months. She also states she has tremors and keeps losing weight without trying. Which of the following medications would the nurse anticipate being ordered?

Hydroxychloroquine

Levothyroxine

Potassium iodide

Methotrexate

Answer and Explanation

The Correct Answer is C

Choice A reason: Hydroxychloroquine treats autoimmune diseases like lupus by modulating immunity, not hyperthyroidism’s excess thyroid hormone production, irrelevant here.

Choice B reason: Levothyroxine supplements thyroid hormone in hypothyroidism, worsening this patient’s hyperthyroidism (high T3/T4), contraindicated for her symptoms.

Choice C reason: Potassium iodide inhibits thyroid hormone release, reducing T3 and T4 in hyperthyroidism (e.g., Graves’), addressing her goiter, exophthalmos, and weight loss effectively.

Choice D reason: Methotrexate suppresses immunity in cancer or autoimmunity, not targeting thyroid overactivity or hormone levels, unsuitable for hyperthyroidism management.

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Correct Answer is B

Explanation

Choice A reason: Lactulose doesn’t lower glucose; it’s a sugar metabolized by gut bacteria, unrelated to blood sugar control in cirrhosis, where glucose issues stem elsewhere.

Choice B reason: In cirrhosis, lactulose traps ammonia in the gut by acidifying it, promoting excretion and reducing toxic levels that cause hepatic encephalopathy, the primary goal.

Choice C reason: Potassium levels aren’t directly reduced by lactulose; it affects ammonia via gut pH, not electrolytes like potassium, which may rise in renal issues.

Choice D reason: Bicarbonate isn’t targeted by lactulose; it’s a buffer altered in acid-base imbalances, not the focus in cirrhosis where ammonia reduction is critical.

A. The client should be placed on levothyroxine B. The client will need a removal of the thyroid gland C. This is a normal finding D. The nurse did not complete the assessment correctly

Correct Answer is C

Explanation

Choice A reason: Levothyroxine treats hypothyroidism, but a non-palpable, non-tender thyroid is normal, not indicating low hormone needing replacement, so this is unnecessary.

Choice B reason: Thyroidectomy addresses hyperthyroidism or masses, not a non-palpable, non-tender gland, which is physiologically normal, making surgery irrelevant here.

Choice C reason: A healthy thyroid is typically non-palpable and non-tender, indicating no enlargement or inflammation, aligning with normal anatomy, so this is correct.

Choice D reason: Proper assessment finds a non-palpable thyroid as normal; suggesting error assumes pathology without evidence, when findings match expected norms.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is assessing a client's thyroid. The nurse determines the client's thyroid is non-palpable and non-tender. Which is the best explanation of these findings?

Correct Answer is C

Explanation

The nurse is providing education to a client who is newly diagnosed with lupus. Which of the following statements would require further teaching?

The nurse is caring for a client who is admitted with a diagnosis of a thyroid storm. Which of the following orders would the nurse question?

The clinic nurse is reviewing the client's symptoms which include hair loss, feeling tired, always being very cold, and having constipation. Which of the following complications may arise if the patient does not receive treatment?

A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?

Which of the following medications would be appropriate for heart failure treatment?

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A client who had a cerebrovascular accident is assessed by a speech therapist after choking and having difficulty swallowing. Which of the following would be appropriate for the nurse to recommend?

Which of the following symptoms is indicative of right-sided heart failure?