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

A 75-year-old female client who has diabetes mellitus type 1.

A 68-year-old male client who has testicular cancer.

A 48-year-old male client with a history of hyperthyroidism.

A 40-year-old female client who received radiation treatment for breast cancer 8 years ago.

Answer and Explanation

The Correct Answer is D

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.

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Free Nursing Study Resources

Correct Answer is ["C","E","F"]

Explanation

A. Brittle nails are more commonly associated with hypothyroidism, not hyperthyroidism. In hyperthyroidism, nails tend to be stronger, although they may grow more quickly.
B. Cool skin is a sign of hypothyroidism, not hyperthyroidism. In hyperthyroidism, the skin is often warm and moist due to increased metabolic activity and the body's increased heat production.
C. Nervousness, anxiety, and irritability are common symptoms of hyperthyroidism due to the overstimulation of the sympathetic nervous system caused by elevated thyroid hormones.
D. Hoarseness is more commonly seen in hypothyroidism or in cases of thyroid nodules or goiter, not typically in hyperthyroidism.
E. Excessive perspiration is common in hyperthyroidism because of the increased metabolic rate and the body's tendency to generate more heat.
F. Exophthalmos (bulging of the eyes) is a hallmark symptom of Graves' disease, which is a common cause of hyperthyroidism. It occurs due to inflammation and swelling of the tissues around the eyes.

A. "Donepezil will stop the progression of the disease." B. "You can expect an immediate improvement in your ability to think." C. "Donepezil helps to manage the symptoms of Alzheimer's disease." D. "This medication slows the uptake of acetylcholine."

Correct Answer is C

Explanation

A. Donepezil (Aricept) does not stop or cure Alzheimer's disease. It helps to manage symptoms, but it does not halt the progression of the disease. The disease will still progress, but the medication may help improve cognitive function and slow down symptom deterioration temporarily.
B. Donepezil may take several weeks to months to show any noticeable effects. Immediate improvements in cognitive function are unlikely, and it should not be expected to cause quick or dramatic changes in thinking.
C. Donepezil is a cholinesterase inhibitor that works by increasing acetylcholine levels in the brain, which helps to improve communication between nerve cells. It helps manage the cognitive symptoms of Alzheimer's disease, such as memory loss and confusion, but does not cure or prevent the disease.
D. Donepezil works by inhibiting acetylcholinesterase, the enzyme that breaks down acetylcholine. By doing this, it helps increase the availability of acetylcholine in the brain, rather than slowing its uptake. This increased availability can help improve cognitive function in people with Alzheimer's disease.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with hyperthyroidism. Which of the following findings should the nurse expect? Select all that apply.

Correct Answer is ["C","E","F"]

Explanation

The nurse is teaching a client newly diagnosed with Alzheimer's disease about the medication donepezil (Aricept). Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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