What are the signs and symptoms of hypothyroidism?

Decreased appetite.

Restlessness.

Intolerance to cold.

Constipation.

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: Decreased appetite is a common symptom of hypothyroidism. The reduced metabolic rate associated with low thyroid hormone levels can lead to a lack of hunger and reduced food intake, contributing to weight gain despite a lower calorie intake.

Choice B reason: Restlessness is not a typical symptom of hypothyroidism. In fact, hypothyroidism often causes fatigue, lethargy, and a general slowing down of mental and physical processes rather than restlessness or hyperactivity.

Choice C reason: Intolerance to cold is a hallmark symptom of hypothyroidism. The decreased metabolic rate results in reduced heat production, making individuals more sensitive to cold temperatures and often leading them to feel cold even in warm environments.

Choice D reason: Constipation is a common symptom of hypothyroidism. The slowed metabolism affects the gastrointestinal system, reducing the movement of the intestines and leading to infrequent and difficult bowel movements.

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Correct Answer is D

Explanation

Choice A reason: Using hard candy to alleviate dry mouth is a common suggestion for clients experiencing dry mouth as a side effect of medications, including herbal supplements like St. John's wort. This information does not require further instruction as it is a helpful and safe practice.

Choice B reason: Insomnia can occur while taking St. John's wort due to its stimulating effects. Clients should be informed about this potential side effect and how to manage it, but this information does not require further instruction as it is accurate and relevant.

Choice C reason: Sensitivity to the sun is a known side effect of St. John's wort. Clients should be advised to use sun protection and avoid excessive sun exposure. This information is correct and does not require further instruction.

Choice D reason: The statement that another form of contraception is not needed requires further instruction because St. John's wort can interact with hormonal contraceptives, potentially reducing their effectiveness. Clients should be advised to use an additional form of contraception to prevent unintended pregnancy.

A. Sleeps soundly through the night. B. Exhibits fewer emotional outbursts. C. Improved ability to concentrate. D. Decreased episodes of incontinence.

Correct Answer is A

Explanation

Choice A reason: Zolpidem is prescribed to help with sleep. Sleeping soundly through the night indicates the medication is working as intended.

Choice B reason: Fewer emotional outbursts are not a direct measure of zolpidem's effectiveness.

Choice C reason: Improved ability to concentrate is not a direct measure of zolpidem's effectiveness.

Choice D reason: Decreased episodes of incontinence are not relevant to the effectiveness of zolpidem.

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What are the signs and symptoms of hypothyroidism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?

Correct Answer is D

Explanation

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?

Correct Answer is A

Explanation

A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?

The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?

A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?

Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?

The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?