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: Prednisolone reduces inflammation and thyroid hormone production in thyroid storm, stabilizing metabolism, a standard adjunct, so this order is appropriate.
Choice B reason: Aspirin displaces thyroid hormone from proteins, worsening hyperthyroidism in thyroid storm, risking increased T3/T4 effects, so it’s contraindicated and questionable.
Choice C reason: Diazepam controls agitation and seizures in thyroid storm’s hypermetabolic state, calming the nervous system, making it a suitable order here.
Choice D reason: Metoprolol blocks beta-adrenergic effects, slowing heart rate in thyroid storm’s tachycardia, a critical intervention, so this order is clinically sound.
Correct Answer is A
Explanation
Choice A reason: Albuterol, a bronchodilator, rapidly opens airways in COPD, relieving acute shortness of breath and improving oxygenation from 85% by relaxing bronchial smooth muscle.
Choice B reason: Mucolytics thin mucus over time, not addressing acute dyspnea or low saturation (85%) quickly, lacking the immediacy needed in this scenario.
Choice C reason: Montelukast prevents asthma inflammation long-term via leukotriene blockade, not providing rapid relief for COPD’s acute bronchospasm or hypoxia here.
Choice D reason: Prednisone reduces COPD inflammation systemically, but its slow onset doesn’t acutely reverse shortness of breath or oxygen drop like a bronchodilator.
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