The nurse is caring for a client with Graves' disease. The nurse understands that which of the following statements is true regarding this disorder?
The body attacks the thyroid gland, decreasing the amount of thyroid hormone.
Graves' disease is caused by inflammation of the thyroid gland.
Immunoglobulins cause excess in thyroid hormones.
Graves' disease is most commonly seen in men.
The Correct Answer is C
A. In Graves' disease, the immune system attacks the thyroid gland, but the result is an overproduction of thyroid hormones (hyperthyroidism), not a decrease.
B. Graves' disease is an autoimmune disorder in which the immune system produces antibodies (known as thyroid-stimulating immunoglobulins) that stimulate the thyroid gland to produce excess thyroid hormones. It is not primarily an inflammatory condition.
C. Immunoglobulins cause excess in thyroid hormones Graves' disease is an autoimmune disorder in which the body produces thyroid-stimulating immunoglobulins (TSIs) that bind to thyroid cells and stimulate the thyroid to produce excess thyroid hormones. This leads to hyperthyroidism.
D. Graves' disease is more commonly seen in women, particularly those between the ages of 20 and 40. Men are less likely to develop this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Saturated solution of potassium iodide (SSKI) is typically administered orally, not by injection. Therefore, cleansing an injection site is not relevant to this medication.
B. SSKI is not administered intravenously, so this step is unnecessary. Potassium iodide is given orally, so examining it for IV-related concerns such as crystals is not applicable.
C. SSKI has an unpleasant taste, so it is commonly mixed with fruit juice (or another liquid like water) to make it more palatable. Using a straw can help minimize the direct contact with the teeth and reduce the risk of irritation to the mouth and throat.
D. While monitoring vital signs is important for assessing the overall health status of the client, it is not routinely required specifically prior to administering SSKI, unless there are indications of a more serious issue or pre-existing conditions like thyroid dysfunction that may require more monitoring. This action would be more relevant for medications that directly affect hemodynamics or electrolyte balance, which is not a typical concern for SSKI.
Correct Answer is ["C","E","F"]
Explanation
A. Brittle nails are more commonly associated with hypothyroidism, not hyperthyroidism. In hyperthyroidism, nails tend to be stronger, although they may grow more quickly.
B. Cool skin is a sign of hypothyroidism, not hyperthyroidism. In hyperthyroidism, the skin is often warm and moist due to increased metabolic activity and the body's increased heat production.
C. Nervousness, anxiety, and irritability are common symptoms of hyperthyroidism due to the overstimulation of the sympathetic nervous system caused by elevated thyroid hormones.
D. Hoarseness is more commonly seen in hypothyroidism or in cases of thyroid nodules or goiter, not typically in hyperthyroidism.
E. Excessive perspiration is common in hyperthyroidism because of the increased metabolic rate and the body's tendency to generate more heat.
F. Exophthalmos (bulging of the eyes) is a hallmark symptom of Graves' disease, which is a common cause of hyperthyroidism. It occurs due to inflammation and swelling of the tissues around the eyes.
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