The nurse is educating a client on foods to avoid when taking iodine supplements in a client with Graves' disease. Which of the following would be included in this teaching plan? (Select all that apply)
Brussel sprouts
Cabbage
Broccoli
Fish
Peaches
Correct Answer : A,B,C
Choice A reason: Brussel sprouts, goitrogens, inhibit iodine uptake by the thyroid, reducing hormone production in Graves’ disease, countering excess T3/T4 when on iodine supplements.
Choice B reason: Cabbage, a cruciferous vegetable, contains goitrogens that block iodine incorporation into thyroid hormones, helping manage hyperthyroidism’s overactivity with supplements.
Choice C reason: Broccoli’s goitrogenic compounds suppress thyroid function by limiting iodine use, aiding in controlling Graves’ disease’s excessive hormone synthesis during treatment.
Choice D reason: Fish, rich in iodine, boosts thyroid hormone production, worsening Graves’ disease, so it’s avoided when taking iodine supplements to reduce T3/T4 levels.
Choice E reason: Peaches lack significant iodine or goitrogens, having no impact on thyroid function, so they’re not restricted in Graves’ disease management with iodine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Weighing assesses fluid status pre-dialysis, guiding ultrafiltration goals in peritoneal dialysis to remove excess fluid safely, the priority for efficacy and safety.
Choice B reason: High Fowler’s aids breathing but isn’t critical pre-dialysis; semi-Fowler’s is used during, not before, making this secondary to weight assessment.
Choice C reason: Pain medication eases discomfort during dialysis but isn’t the priority; weight determines fluid removal needs first, ensuring treatment accuracy.
Choice D reason: Trendelenburg position aids hypotension, not routine pre-dialysis preparation, irrelevant to starting peritoneal dialysis compared to weight’s foundational role.
Correct Answer is B
Explanation
Choice A reason: Elevating legs above heart level aids venous return, not arterial flow, worsening PAD’s poor circulation, reducing oxygen to ischemic tissues further.
Choice B reason: Warm environments dilate peripheral vessels, improving blood flow to PAD-affected limbs, reducing claudication pain and supporting tissue perfusion safely.
Choice C reason: Heating pads risk burns in PAD due to reduced sensation and poor healing, potentially worsening ischemic damage rather than relieving pain effectively.
Choice D reason: Antiembolic stockings prevent clots in venous stasis, not PAD, an arterial issue, and may compress arteries, further impairing circulation to legs.
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