The nurse is providing discharge instructions for a female client after receiving radioactive iodine treatment. Which of the following information should the nurse include in the teaching?

"You will immediately start thyroid replacement therapy after radioactive iodine treatment."

"Your partner can feed breast milk to your baby if you pump it."

"You can try to get pregnant 2 months after the treatment."

"You need to avoid close contact with others until you the doctor determines you are no longer emitting radiation from your body."

Answer and Explanation

The Correct Answer is D

A. While many patients who receive radioactive iodine treatment (RAI) for hyperthyroidism may require thyroid replacement therapy afterward, this is not always immediate. The body’s response to the treatment varies, and thyroid function will need to be monitored. The initiation of thyroid replacement therapy depends on the individual's thyroid levels after treatment.
B. Radioactive iodine is contraindicated during breastfeeding because the iodine can pass into the breast milk, potentially exposing the infant to radiation. Mothers are usually advised to stop breastfeeding and to pump and discard milk for a period after the treatment (usually several weeks).
C. The general recommendation is that women should wait at least 6 months after receiving radioactive iodine treatment before trying to become pregnant, as the radiation could potentially affect fetal development during the first few months following the treatment.
D. After receiving radioactive iodine treatment, patients should limit contact with others (especially pregnant women and young children) for a period of time to reduce the risk of radiation exposure to others. This period varies based on the dose of radioactive iodine used, but patients are typically advised to follow specific precautions until their radiation levels have decreased to a safe level.

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Correct Answer is D

Explanation

A. A 75-year-old female client who has diabetes mellitus type 1: While older age and gender (female) may slightly increase the risk of thyroid cancer, diabetes mellitus type 1 is not a known significant risk factor for thyroid cancer.
B. A 68-year-old male client who has testicular cancer: Testicular cancer itself is not strongly associated with an increased risk of thyroid cancer. While cancer survivors may face a higher risk for secondary cancers, testicular cancer is not typically linked to thyroid cancer.
C. A 48-year-old male client with a history of hyperthyroidism: Hyperthyroidism does not increase the risk for thyroid cancer. In fact, hyperthyroidism is more commonly associated with conditions like Graves' disease and toxic goiter, not thyroid cancer.
D. A 40-year-old female client who received radiation treatment for breast cancer 8 years ago: Previous radiation treatment, particularly at a young age, is a well-established risk factor for developing thyroid cancer. Radiation exposure can damage the DNA in thyroid cells, leading to an increased risk of cancer later in life.

A. Your pancreas is not secreting enough insulin to help regulate your blood sugar level. B. Your pancreas is not breaking down glycogen that leads to increased blood sugar level. C. Your liver is secreting too much glucagon and that leads to increased blood sugar level. D. Your liver is absorbing too much insulin that is why it cannot be used by the blood.

Correct Answer is A

Explanation

A. In type 1 diabetes, the pancreas either does not produce any insulin or produces very little insulin. Insulin is necessary to help regulate blood sugar levels by allowing glucose to enter cells. In type 2 diabetes, the body may not respond to insulin effectively (insulin resistance), or the pancreas may not produce enough insulin to meet the body's needs. Either way, insulin production or function is impaired, leading to elevated blood sugar levels.
B. The pancreas does not break down glycogen. Instead, the liver breaks down glycogen into glucose when blood sugar is low. The pancreas's role in diabetes is primarily related to insulin production or secretion, not the breakdown of glycogen.
C. Glucagon is a hormone produced by the pancreas that signals the liver to release glucose when blood sugar is low. In diabetes, the issue is typically with insulin production or the body’s response to insulin, not an overproduction of glucagon.
D. This statement is confusing. The liver does not absorb insulin. In type 2 diabetes, the problem is typically insulin resistance, meaning the body’s cells, including those in the liver, do not respond properly to insulin. In type 1 diabetes, the issue is a lack of insulin production.

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The nurse is providing discharge instructions for a female client after receiving radioactive iodine treatment. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

The nurse is screening clients for an increased risk of thyroid cancer. Which of the following client's would have the highest risk?

Correct Answer is D

Explanation

The nurse is caring for a client newly diagnosed with diabetes mellitus who states, "I do not understand why I have diabetes when I try not to eat a lot of sugar." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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