The nurse is caring for a client diagnosed with hyperthyroidism. Which signs and symptoms indicate hyperthyroidism? (Select all that apply.)

Sudden onset of symptoms

Atrial fibrillation

Cold intolerance

Constipation

Heart failure

Answer and Explanation

Correct Answer : A,B

Choice A reason: Sudden onset of symptoms is a sign of hyperthyroidism, as it indicates a rapid increase in thyroid hormone levels that can cause a thyroid storm, a life-threatening condition that requires immediate medical attention. Symptoms of a thyroid storm may include fever, agitation, confusion, sweating, nausea, vomiting, diarrhea, and chest pain.

Choice B reason: Atrial fibrillation is a sign of hyperthyroidism, as it indicates an irregular and fast heartbeat that can result from the excess stimulation of the heart by thyroid hormones. Atrial fibrillation can increase the risk of blood clots, stroke, and heart failure.

Choice C reason: Cold intolerance is not a sign of hyperthyroidism, but rather a sign of hypothyroidism, a condition where the thyroid gland produces too little thyroid hormone. Cold intolerance means feeling cold even in warm environments, due to the reduced metabolic rate and heat production.

Choice D reason: Constipation is not a sign of hyperthyroidism, but rather a sign of hypothyroidism, a condition where the thyroid gland produces too little thyroid hormone. Constipation means having difficulty passing stools, due to the slowed intestinal motility and digestion.

Choice E reason: Heart failure is not a sign of hyperthyroidism, but rather a complication of hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. Heart failure means the inability of the heart to pump enough blood to meet the body's needs, due to the increased workload and damage to the heart muscle.

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Correct Answer is B

Explanation

Choice A reason: This statement is incorrect because the zoster vaccine Shingrix can be given to individuals who have had a previous episode of Herpes Zoster (HZ), as long as they are not currently experiencing an acute outbreak. The vaccine can help prevent future recurrences of HZ, as well as reduce the risk of postherpetic neuralgia, a painful complication of HZ.
Choice B reason: This statement is correct because the zoster vaccine Shingrix is recommended for all individuals over age 50 that have no contraindications to the vaccine, such as a history of severe allergic reaction to any component of the vaccine, or a current severe immunodeficiency. The vaccine can help prevent HZ and its complications, which are more common and severe in older adults.
Choice C reason: This statement is incorrect because the zoster vaccine Shingrix can be given to individuals with a chronic cardiac or respiratory condition, as long as they are not immunocompromised. The vaccine is not a live vaccine, so it does not pose a risk of causing or worsening the underlying condition. The vaccine can help protect the individuals from HZ and its complications, which can exacerbate their condition or interfere with their treatment.
Choice D reason: This statement is incorrect because the zoster vaccine Shingrix does not always prevent an individual from developing Herpes Zoster. The vaccine has a high efficacy rate of about 90%, but it is not 100%. The vaccine can reduce the severity and duration of HZ, as well as the risk of postherpetic neuralgia, if it does occur.

A. Difficulty starting or stopping the urinary stream B. The character of the urine C. Ability to reach a toilet and use it D. Whether she had a bowel movement at the same time E. The amount and timing of fluid intake and urine output

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason:

It is important for the client to document any difficulty starting or stopping the urinary stream as this can indicate potential issues with bladder function or muscle control.

Choice B reason:

Documenting the character of the urine, such as color and odor, can provide valuable insights into potential underlying health issues, such as dehydration or urinary tract infections.

Choice C reason:

The ability to reach a toilet and use it is crucial information as it helps in understanding the client's mobility and accessibility to restroom facilities, which can impact her urinary patterns.

Choice D reason:

Although not listed, it's essential to note that having a bowel movement at the same time can also provide insights into potential underlying issues and patterns related to urinary incontinence.

Choice E reason:

The amount and timing of fluid intake and urine output are imperative to track as they can reveal patterns and potential triggers for urinary incontinence, aiding in the development of an effective management plan.

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The nurse is caring for a client diagnosed with hyperthyroidism. Which signs and symptoms indicate hyperthyroidism? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is providing an educational session on vaccines to a group of older adults. The nurse is discussing the zoster vaccine Shingrix. Which of the following information should the nurse include in the education?

Correct Answer is B

Explanation

Your second older adult female client has been experiencing some problems with urinary incontinence. You suggest that she document which of the following in a “bladder/voiding diary”? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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