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

Answer and Explanation

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.

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Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Barrel chest develops in emphysema from chronic air trapping, overexpanding lungs and flattening the diaphragm, altering thoracic shape over years.

Choice B reason: Edema relates to right heart failure from cor pulmonale, a late emphysema complication, not a direct or universal finding after five years.

Choice C reason: Productive cough is typical in chronic bronchitis, not emphysema, which features alveolar destruction and minimal mucus, leading to dry cough instead.

Choice D reason: Dyspnea in emphysema results from alveolar loss reducing oxygen exchange, forcing compensatory rapid breathing, a core symptom even after five years.

Choice E reason: Clubbed fingers occur in chronic hypoxia from emphysema, as poor oxygenation over years triggers nail bed angiogenesis, a common late finding.

A. Weight gain B. Diaphoresis C. Exophthalmos D. Palpitations

Correct Answer is A

Explanation

Choice A reason: Hypothyroidism slows metabolism due to low thyroid hormone, reducing calorie burning and causing weight gain from fat accumulation and fluid retention in tissues.

Choice B reason: Diaphoresis (sweating) occurs in hyperthyroidism from excess metabolism raising body heat. Hypothyroidism causes dry skin and cold intolerance, not sweating.

Choice C reason: Exophthalmos, bulging eyes, results from Graves’ disease in hyperthyroidism due to orbital inflammation. Hypothyroidism doesn’t affect eye protrusion, making this unlikely.

Choice D reason: Palpitations stem from hyperthyroidism’s increased heart rate via excess thyroid hormone. Hypothyroidism slows heart rate, leading to bradycardia, not palpitations.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a diagnosis of emphysema of five years. Which of the following findings should the nurse expect to see during the morning assessment? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?

Correct Answer is A

Explanation

Which of the following medications are going to dilate the coronary arteries and redirect blood flow so that ischemic tissue is oxygenated?

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