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 A

Explanation

Choice A reason: Reduced epigastric pain indicates that the famotidine is effectively reducing gastric acid production and alleviating symptoms.

Choice B reason: Decreased nighttime awakenings may be an indirect benefit but is not a direct measure of the medication's effectiveness.

Choice C reason: A positive stool antigen test is not relevant to assessing the effectiveness of famotidine.

Choice D reason: Loss of weight is not a direct measure of famotidine's effectiveness.

A. Calcium. B. Potassium. C. Phosphate. D. pH.

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.

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What are the signs and symptoms of hypothyroidism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?

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?

Correct Answer is C

Explanation

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take?Reference Range: Total Calcium (9 to 10.4 mg/dL (2.3 to 2.6 mmol/L))

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 client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

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?

A client with iron deficiency anemia is taking ferrous sulfate elixir. Which instruction should the nurse provide this client?

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?

What are the signs and symptoms of hypothyroidism?