The nurse is caring for a client with an autoimmune disease characterized by the production of antibodies that destroy essential enzymes needed for the production of T 3 and T4. This nurse is aware that this client is experiencing:
hyperthyroidism
hypothyroidism
cretinism
Hashimoto's thyroiditis
The Correct Answer is D
A. Hyperthyroidism: Hyperthyroidism occurs when there is excessive production of thyroid hormones (T3 and T4), often due to conditions such as Graves' disease. This is not consistent with the autoimmune destruction of enzymes needed to produce T3 and T4.
B. Hypothyroidism: Hypothyroidism occurs when there is insufficient production of thyroid hormones (T3 and T4), often due to damage or dysfunction of the thyroid. This does not result from autoimmune destruction of essential enzymes.
C. Cretinism: Cretinism is a form of hypothyroidism that occurs in infants and children, resulting from a lack of thyroid hormone during development. It is not typically associated with the autoimmune destruction of enzymes as described.
D. Hashimoto's thyroiditis: Hashimoto's thyroiditis is an autoimmune disease where the body produces antibodies that attack the thyroid gland, specifically targeting the enzymes necessary for the production of thyroid hormones (T3 and T4). This leads to hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diabetic ketoacidosis (DKA): DKA occurs when there is a lack of insulin, and the body starts breaking down fat for fuel, producing ketones. This leads to fruity breath, deep respirations (Kussmaul breathing), and dry, hot skin due to dehydration.
B. Hypoglycemia: Hypoglycemia presents with shakiness, sweating, and dizziness, but it does not cause fruity breath or deep respirations. These symptoms are more typical of DKA, which involves metabolic acidosis and abnormal respiratory patterns.
C. Rebound hyperglycemia: Rebound hyperglycemia, or the Somogyi effect, results from low blood sugar during the night, leading to a counter-regulatory hormone response. It does not cause fruity breath or deep respirations, which are characteristic of DKA.
D. An insulin reaction: An insulin reaction usually refers to hypoglycemia, characterized by symptoms like shakiness, sweating, and confusion. It does not explain the abdominal pain, fruity breath, or deep respirations, all indicative of DKA.
Correct Answer is ["200"]
Explanation
Total volume to be infused = 100 mL.
Infusion time in minutes = 30 minutes.
- Convert the infusion time from minutes to hours.
Infusion time in hours = 30 minutes / 60 minutes/hour
= 0.5 hours.
- Calculate the flow rate in milliliters per hour (mL/hr).
Flow rate (mL/hr) = Total volume (mL) / Infusion time (hr)
= 100 mL / 0.5 hr
= 200 mL/hr.
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