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 D

Explanation

Choice A reason: Steak, a solid, requires chewing and swallowing coordination, risking aspiration in dysphagia post-CVA due to impaired pharyngeal muscle control.

Choice B reason: Iced tea, a thin liquid, flows quickly, increasing aspiration risk in CVA patients with weakened swallow reflexes, unable to manage thin consistencies safely.

Choice C reason: Grapes, small and round, pose choking and aspiration hazards in dysphagia, as they require intact bolus control, often compromised post-stroke.

Choice D reason: Mashed potatoes, soft and thick, are easier to swallow, reducing aspiration risk in dysphagia post-CVA, aligning with thickened consistency recommendations.

A. Leg edema B. Heat intolerance C. Tachycardia D. Diarrhea

Correct Answer is A

Explanation

Choice A reason: Myxedema, severe hypothyroidism, slows metabolism, reducing cardiac output and causing fluid retention in tissues, leading to non-pitting leg edema from glycosaminoglycan deposits and poor circulation.

Choice B reason: Heat intolerance occurs in hyperthyroidism due to increased metabolism raising body temperature. Myxedema causes cold intolerance from slowed metabolism, making this finding unlikely.

Choice C reason: Tachycardia is a hyperthyroid symptom from excess thyroid hormone speeding heart rate. Myxedema leads to bradycardia as metabolism and cardiac activity decrease significantly.

Choice D reason: Diarrhea aligns with hyperthyroidism’s accelerated gut motility. Myxedema causes constipation from slowed metabolism reducing peristalsis, so diarrhea contradicts this condition’s physiology.

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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)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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