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 B

Explanation

A. Schizophrenia itself does not typically affect thyroid diagnostic test results. However, some medications used to treat schizophrenia may potentially influence thyroid function, but the diagnosis alone is not a direct factor.
B. Oral contraceptives can affect thyroid function tests. They may increase the levels of thyroid-binding globulin (TBG), which could result in falsely elevated total thyroid hormone levels. This can affect the interpretation of thyroid function tests, such as TSH, T3, and T4.
C. Vitamin C does not typically interfere with thyroid function tests. It is generally considered safe and does not directly affect the results of thyroid diagnostic tests.
D. Obesity does not directly interfere with thyroid diagnostic tests. However, thyroid disorders, especially hypothyroidism, are more common in individuals with obesity, so it may be a consideration in assessing thyroid function.

A. Cleanse the injection site with an isopropyl alcohol wipe. B. Examine the IV solution for sediment and crystals. C. Mix the solution with fruit juice and provide the client with a straw. D. Obtain the client's vital signs prior to administration.

Correct Answer is C

Explanation

A. Saturated solution of potassium iodide (SSKI) is typically administered orally, not by injection. Therefore, cleansing an injection site is not relevant to this medication.
B. SSKI is not administered intravenously, so this step is unnecessary. Potassium iodide is given orally, so examining it for IV-related concerns such as crystals is not applicable.
C. SSKI has an unpleasant taste, so it is commonly mixed with fruit juice (or another liquid like water) to make it more palatable. Using a straw can help minimize the direct contact with the teeth and reduce the risk of irritation to the mouth and throat.
D. While monitoring vital signs is important for assessing the overall health status of the client, it is not routinely required specifically prior to administering SSKI, unless there are indications of a more serious issue or pre-existing conditions like thyroid dysfunction that may require more monitoring. This action would be more relevant for medications that directly affect hemodynamics or electrolyte balance, which is not a typical concern for SSKI.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is obtaining a medical history from a client scheduled for a thyroid diagnostic test. Which of the following findings may affect the results?

Correct Answer is B

Explanation

The nurse is preparing to administer prescribed saturated solution of potassium iodide (SSKI). Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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