The nurse is planning the care of a patient with hyperthyroidism.
What should the nurse specify in the patient's meal plan?

A reduced-calorie diet, high in nutrients.

Small, frequent meals, high in protein and carbohydrates.

Three large, bland meals a day.

A diet high in fiber and plant-sourced fat.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While a reduced-calorie diet may be helpful in some conditions, patients with hyperthyroidism typically require high-calorie diets due to their elevated metabolic rate.

Choice B rationale

Small, frequent meals high in protein and carbohydrates help to meet the increased metabolic demands and prevent muscle wasting in hyperthyroid patients.

Choice C rationale

Large, bland meals are not ideal as patients with hyperthyroidism have high metabolic rates and may require more frequent nutrient intake.

Choice D rationale

While fiber is beneficial for digestive health, it does not specifically address the high metabolic needs of hyperthyroid patients.

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Correct Answer is C

Explanation

Choice A rationale

Thyroid storm is a severe complication of hyperthyroidism and is characterized by high fever, tachycardia, and altered mental state, not carpopedal spasm.

Choice B rationale

Homans sign is an indicator of deep vein thrombosis (DVT) and is not related to carpopedal spasms observed here.

Choice C rationale

Trousseau sign is a clinical sign of latent tetany seen in patients with hypocalcemia, characterized by carpopedal spasm when blood flow is occluded.

Choice D rationale

Chvostek sign is another sign of hypocalcemia, but it is indicated by facial muscle contraction when tapping the facial nerve, not carpopedal spasm.

A. Tumor lysis syndrome (TLS). B. Hypercalcemia. C. Spinal cord compression. D. Superior vena cava syndrome (SVCS).

Correct Answer is D

Explanation

Choice A rationale

Tumor lysis syndrome (TLS) results from the rapid breakdown of cancer cells, leading to metabolic imbalances such as hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia. Symptoms can include nausea, vomiting, diarrhea, muscle cramps, and arrhythmias. TLS is a metabolic emergency seen in high-turnover cancers like leukemia or lymphoma and is not associated with symptoms like jugular venous distention or edema in the face, neck, and arms.

Choice B rationale

Hypercalcemia, often due to bone metastasis or certain paraneoplastic syndromes, presents with symptoms such as confusion, lethargy, constipation, nausea, polyuria, and polydipsia. It is not related to the symptoms described in the question, which are indicative of a different oncologic emergency.

Choice C rationale

Spinal cord compression occurs when a tumor compresses the spinal cord, leading to symptoms like severe back pain, weakness, sensory changes, and autonomic dysfunction. It does not explain the symptoms of jugular venous distention, facial, neck, and arm edema.

Choice D rationale

Superior vena cava syndrome (SVCS) occurs when a tumor compresses the superior vena cava, leading to decreased venous return from the upper body. Symptoms include shortness of breath, jugular venous distention, and edema of the face, neck, and arms due to impaired blood flow. This is an oncologic emergency requiring prompt intervention to reduce the obstruction.

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The nurse is planning the care of a patient with hyperthyroidism.What should the nurse specify in the patient's meal plan?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who is admitted to a surgical unit after a thyroidectomy.The nurse takes and maintains the inflated blood pressure cuff on the patient and observes a carpopedal spasm.What does this result indicate to the nurse?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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The nurse is planning the care of a patient with hyperthyroidism.
What should the nurse specify in the patient's meal plan?