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 B
Explanation
Choice A reason: 1 tablet (50 mcg) provides half the 100 mcg dose, insufficient for hypothyroidism treatment, underdosing the required thyroid hormone replacement level.
Choice B reason: 2 tablets (50 mcg each) equal 100 mcg, matching the prescribed dose, ensuring adequate T4 replacement for hypothyroidism’s metabolic needs daily.
Choice C reason: 3 tablets (150 mcg) exceed the 100 mcg dose, risking hyperthyroidism symptoms like tachycardia or nervousness from excessive thyroid hormone administration.
Choice D reason: 4 tablets (200 mcg) grossly overdose the 100 mcg requirement, potentially causing severe thyrotoxicosis, disrupting metabolism and cardiac function dangerously.
Correct Answer is A
Explanation
Choice A reason: Sun exposure triggers lupus rashes by inducing photosensitivity, increasing inflammation via UV damage, so stating it decreases risk is incorrect and needs correction.
Choice B reason: Ibuprofen, an NSAID, reduces lupus joint pain by inhibiting prostaglandin synthesis, a common and appropriate management strategy, so this is accurate.
Choice C reason: Fever signals lupus flare-ups from systemic inflammation, an early immune response marker, making this statement correct and aligned with disease patterns.
Choice D reason: Resting between activities conserves energy and reduces lupus fatigue and inflammation, a recommended self-management technique, so this is appropriate advice.
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