The nurse is educating a newly diagnosed client about treatment for hyperthyroidism. Which of the following statements would require further teaching?

It is important that I take my levothyroxine daily to help manage my hyperthyroidism

I should avoid foods like kale, cabbage, Brussel sprouts, and cauliflower

Methimazole will decrease my T3 and T4 levels

Iodine will prevent the thyroid hormone from being released into the bloodstream

Answer and Explanation

The Correct Answer is A

Choice A reason: Levothyroxine treats hypothyroidism by adding T4, worsening hyperthyroidism’s excess hormone; antithyroid drugs are needed, so this statement is incorrect.

Choice B reason: Avoiding goitrogens (kale, cabbage) prevents thyroid suppression, appropriate in hyperthyroidism where reducing hormone production is the goal, so this is correct.

Choice C reason: Methimazole inhibits thyroid hormone synthesis, lowering T3 and T4 in hyperthyroidism, a standard treatment, making this statement accurate.

Choice D reason: Iodine blocks thyroid hormone release, reducing circulating T3/T4 in hyperthyroidism, a correct approach, especially in acute settings, so this is valid.

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Correct Answer is B

Explanation

Choice A reason: Decreased body temperature reflects hypothyroidism; levothyroxine raises metabolism, normalizing or increasing temperature, so this isn’t a therapeutic response.

Choice B reason: Increased energy occurs as levothyroxine restores thyroid hormone, boosting metabolism, reversing hypothyroidism’s fatigue, a key sign of effective treatment.

Choice C reason: Weight gain contradicts levothyroxine’s effect; it increases metabolism, aiding weight loss or stabilization, not gain, in hypothyroidism treatment.

Choice D reason: Decreased appetite isn’t typical; levothyroxine may normalize appetite as metabolism rises, not suppress it, differing from hypothyroidism’s effects.

A. Position the client in semi-Fowler’s for optimal respiratory function B. Put the client in mild Trendelenburg position to decrease hypertension C. Place the client flat for 24 hours to decrease cerebral ischemia D. Raise the head of the bed 30 degrees for cerebral perfusion

Correct Answer is D

Explanation

Choice A reason: Semi-Fowler’s aids breathing but doesn’t optimize cerebral blood flow, critical in ischemic stroke to perfuse brain tissue, less urgent than perfusion.

Choice B reason: Trendelenburg lowers the head, risking increased intracranial pressure in stroke, not reducing hypertension effectively, contraindicated for cerebral ischemia.

Choice C reason: Flat positioning may increase intracranial pressure, worsening ischemia; elevation enhances perfusion, so keeping flat isn’t the priority intervention.

Choice D reason: Raising the head 30 degrees improves cerebral perfusion by balancing blood flow and reducing pressure, the priority to minimize ischemic damage.

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The nurse is educating a newly diagnosed client about treatment for hyperthyroidism. Which of the following statements would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving levothyroxine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?

Correct Answer is B

Explanation

Which of the following is a priority nursing intervention for a client admitted with an ischemic stroke?

Correct Answer is D

Explanation

The healthcare provider has ordered captopril for the client diagnosed with congestive heart failure. Which discharge instruction should the nurse include?

What set of arterial blood gases (ABGs) would you expect to see in a client with acute chest trauma?

A client with chronic renal failure is asking the nurse why her hemoglobin and hematocrit counts are low. Which of the following is the nurse's best response?

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The nurse is caring for a client who is admitted with a diagnosis of a thyroid storm. Which of the following orders would the nurse question?

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