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 A

Explanation

Choice A reason: CT scan rapidly detects ischemic stroke or hemorrhage in the brain, critical for numbness, headache, and speech issues, guiding urgent treatment decisions.

Choice B reason: Hemoglobin and hematocrit assess blood count, not brain pathology like stroke, which requires imaging to identify infarction or bleeding, not anemia.

Choice C reason: MRI offers detailed stroke imaging but is slower than CT, less ideal for acute ER settings needing immediate diagnosis of neurological symptoms.

Choice D reason: Pulmonary angiography evaluates lung vessels for embolism, irrelevant to stroke symptoms (numbness, headache, speech difficulty), which localize to brain issues.

A. Thyroid cancer B. Goiter C. Graves' disease D. Tetany

Correct Answer is D

Explanation

Choice A reason: Thyroid cancer involves malignant thyroid growth, not a consequence of parathyroid damage during surgery, which affects calcium, not cancer risk.

Choice B reason: Goiter is thyroid enlargement from iodine issues or hyperplasia, unrelated to parathyroid damage, which controls calcium, not thyroid size.

Choice C reason: Graves’ disease, hyperthyroidism, results from autoantibodies, not parathyroid injury, which causes hypocalcemia, not thyroid hormone excess.

Choice D reason: Parathyroid damage reduces PTH, dropping calcium levels, leading to tetany—muscle spasms from hypocalcemia, a direct surgical complication.

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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

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Correct Answer is D

Explanation

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