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 C

Explanation

Choice A reason: Calcium acetate is used to bind phosphate in the gastrointestinal tract to reduce phosphate absorption, which is often elevated in clients with CKD. A decrease in serum calcium is not the intended effect of this medication.

Choice B reason: Potassium levels are not directly affected by calcium acetate. This medication specifically targets phosphate binding.

Choice C reason: A decrease in phosphate levels indicates that calcium acetate is effectively binding phosphate and reducing its absorption from the diet. This is the desired effect, as elevated phosphate levels can lead to complications in CKD.

Choice D reason: The pH of the blood is not directly influenced by calcium acetate. The primary purpose of this medication is to manage phosphate levels, not to alter blood pH.

A. Explain to the family how to inject this medication for severe hypoglycemia. B. Teach the client self-injection skills for daily subcutaneous administration. C. Demonstrate how to select the dose based on before meal blood sugar readings. D. Provide information on increasing medication dosage if ketoacidosis occurs.

Correct Answer is B

Explanation

Choice A reason: Explaining to the family how to inject medication for severe hypoglycemia is important, but it is not specific to insulin glargine. This long-acting insulin is not used for treating hypoglycemia; instead, it's used for maintaining stable blood glucose levels.

Choice B reason: Teaching the client self-injection skills for daily subcutaneous administration is essential for insulin glargine, which needs to be injected daily to control blood glucose levels effectively. Ensuring that the client can safely and accurately administer their insulin is critical for effective diabetes management.

Choice C reason: Demonstrating how to select a dose based on before meal blood sugar readings is more relevant to short-acting or rapid-acting insulins rather than long-acting insulins like glargine. Insulin glargine is typically dosed based on a consistent schedule rather than fluctuating blood glucose readings.

Choice D reason: Providing information on increasing medication dosage if ketoacidosis occurs is not appropriate for insulin glargine. Ketoacidosis requires urgent medical treatment, often involving rapid-acting insulin, fluids, and electrolyte management. Increasing the dosage of long-acting insulin is not a suitable response to this acute condition.

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What are the signs and symptoms of hypothyroidism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?

When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA) pump, the client asks to go to the hospital's smoking area to smoke a cigarette. Which response should the nurse provide?

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?

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?

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?

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

The nurse discontinues the client's patient-controlled analgesia (PCA) pump. Which response should the nurse provide to the client's request to go to the smoking area?