The nurse is teaching a client with hypothyroidism the importance of increasing fluids. The nurse should explain that increasing fluids is important to prevent which of the following problems?

Anorexia

Cold intolerance

Constipation

Oxygen demand increase

Answer and Explanation

The Correct Answer is C

A. Anorexia is not typically related to fluid intake in clients with hypothyroidism. In fact, some people with hypothyroidism may experience weight gain and have increased appetite rather than anorexia.
B. Cold intolerance is a common symptom of hypothyroidism due to a reduced metabolic rate, but it is not directly related to fluid intake. Increasing fluids would not directly alleviate cold intolerance.
C. One of the common symptoms of hypothyroidism is constipation, which occurs due to slowed gastrointestinal motility. Increasing fluid intake helps to soften stool and promote regular bowel movements, thus preventing constipation.
D. Hypothyroidism typically results in a lower oxygen demand because of a decreased metabolic rate. Fluid intake does not have a direct impact on oxygen demand.

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Correct Answer is C

Explanation

A. Taking naproxen with food can reduce gastrointestinal upset, but this does not address its potential harm during pregnancy.
B. Acetaminophen is generally considered safe during pregnancy, but aspirin and caffeine compounds may carry risks and should not be recommended without provider guidance.
C. Instruct the client to stop taking the medication and speak with the health care provider is correct. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally not recommended during pregnancy, especially in the third trimester, due to potential risks such as premature closure of the ductus arteriosus and impaired fetal renal function. The client should stop taking the medication and consult with the provider for safer alternatives.
D. Increasing the dose of a potentially harmful medication during pregnancy is inappropriate and could increase risk to the fetus.

A. Decreased sodium in the client's urine. B. Presence of glucose in the client's urine. C. Decreased potassium in the client's urine. D. Presence of ketones in the client's urine.

Correct Answer is B

Explanation

A. Typically, in hyperglycemia (high blood sugar), sodium may be retained, not decreased, due to the osmotic effect of glucose. Increased urine output can lead to some sodium loss, but it is not the primary concern here.
B. When blood glucose levels exceed the renal threshold (around 180 mg/dL), the kidneys cannot reabsorb all the glucose, and it spills over into the urine. This leads to glucosuria (glucose in urine), which is common in uncontrolled diabetes.
C. Hyperglycemia can initially cause increased potassium levels in the blood due to shifts between intracellular and extracellular compartments. However, increased urination (polyuria) can eventually lead to potassium loss, not decreased potassium in urine.
D. Ketones in the urine (ketonuria) are more commonly seen in type 1 diabetes or in cases of diabetic ketoacidosis (DKA), which is often associated with severe insulin deficiency and fat breakdown. While it's possible to see ketones in type 2 diabetes, this is not typically the first finding with a blood sugar level of 289 mg/dL.

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The nurse is teaching a client with hypothyroidism the importance of increasing fluids. The nurse should explain that increasing fluids is important to prevent which of the following problems?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a female client who is pregnant and reports taking naproxen (Naprosyn) for migraine headaches. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse caring for a client with diabetes, type 2 who has a blood sugar level of 289 mg/dL noted an increase in urine output. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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