The school nurse notices that a 14-year old who used to be an excellent student and very active in sports is losing weight, acting very nervous and wide bulging eyes. The teen was recently checked by the primary care provider (PCP), who noted the teen had a very low level of TSH. The nurse recognizes that the teen has which condition?
Hypothyroidism
Juvenile autoimmune thyroiditis
Hashimoto thyroid disease
Graves Disease
The Correct Answer is D
A. Hypothyroidism: Hypothyroidism is characterized by symptoms such as weight gain, fatigue, dry skin, and cold intolerance. The teen's symptoms of weight loss, nervousness, and bulging eyes are not typical of hypothyroidism.
B. Juvenile autoimmune thyroiditis: Juvenile autoimmune thyroiditis is typically associated with hypothyroidism and does not present with symptoms like weight loss, nervousness, or bulging eyes. It is more often characterized by fatigue, cold intolerance, and weight gain.
C. Hashimoto thyroid disease: Hashimoto's disease is an autoimmune disorder that often leads to hypothyroidism. The symptoms described (weight loss, nervousness, bulging eyes) do not align with Hashimoto's disease, which is generally linked to an underactive thyroid.
D. Graves' Disease: Graves' disease is a type of hyperthyroidism often characterized by weight loss, nervousness, bulging eyes (exophthalmos). The symptoms align with the presentation of this teen, and the low TSH level further supports the diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The patient has recently received a raise and a promotion at work: Positive life events, such as a raise or promotion, are less likely to cause significant worsening of symptoms. Positive changes are generally less impactful than negative stressors on thyroid conditions.
B. The patient has recently lost their job and their mother has recently been diagnosed with breast cancer: Losing a job and dealing with a loved one's serious illness can lead to significant stress, which can contribute to increased thyroid hormone production and worsen hyperthyroid symptoms.
C. The patient has recently changed their bedtime routine and now is getting 7-8 hours of sleep each night: Adequate rest (7-8 hours per night) is beneficial for overall health, including thyroid function. Consistent sleep routine can help improve symptoms of Graves' disease.
D. The patient has recently lost 10 lbs because they have modified their dietary intake and began walking 1-2 miles each day: Exercise and weight loss from healthy lifestyle changes (diet and walking) are generally beneficial and can improve symptoms of Graves' disease.
Correct Answer is ["33"]
Explanation
Calculation:
- Convert the infusion rate from milliliters per hour (mL/hr) to milliliters per minute (mL/min).
Infusion rate in mL/min = 200 mL/hr / 60 min/hr
= 3.333... mL/min.
Tubing drop factor = 10 gtt/mL.
- Calculate the flow rate in drops per minute (gtt/min).
Flow rate (gtt/min) = Infusion rate (mL/min) × Tubing drop factor (gtt/mL)
= 3.333 mL/min × 10 gtt/mL
= 33.333 gtt/min.
- Round the answer to the nearest whole number.
= 33 gtt/min.
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