What test results would indicate hyperthyroidism?
High T4 levels.
High TSH levels.
Low T4 levels.
Low TSH levels.
The Correct Answer is A
Choice A reason: High T4 levels indicate excessive thyroid hormone production, a hallmark of hyperthyroidism. This aligns with endocrine diagnostic criteria, making it a correct test result the nurse would expect, reflecting the overactive thyroid function in a patient with suspected hyperthyroidism.
Choice B reason: High TSH levels suggest hypothyroidism, not hyperthyroidism, where TSH is typically low due to negative feedback. This is incorrect, as it contradicts the hormonal profile expected in hyperthyroidism, making it an inaccurate test result for the nurse’s evaluation.
Choice C reason: Low T4 levels are associated with hypothyroidism, not hyperthyroidism, which features elevated T4. This is incorrect, as it does not reflect the increased thyroid hormone production expected in hyperthyroidism, making it an inaccurate finding for the nurse’s assessment.
Choice D reason: Low TSH levels occur in hyperthyroidism due to feedback suppression from high thyroid hormones. This aligns with endocrine lab diagnostics, making it a correct test result the nurse would expect, confirming the overactive thyroid state in the patient’s evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Showering and walking the next day are appropriate post-thyroidectomy activities, promoting mobility without strain. Expecting yellow drainage indicates a misunderstanding, as it suggests infection, making this correct and incorrect for needing further teaching, as it aligns with recovery expectations.
Choice B reason: Yellow drainage from the incision suggests infection, not a normal post-thyroidectomy expectation, indicating a need for further teaching. Normal drainage, if any, is minimal and serosanguinous, making this the correct choice, as it reflects a misconception requiring clarification in the patient’s recovery education.
Choice C reason: Avoiding heavy lifting is accurate, as it prevents strain on the surgical site post-thyroidectomy. Yellow drainage is an incorrect expectation, making this correct and incorrect for needing teaching, as it aligns with proper recovery restrictions to ensure healing and safety.
Choice D reason: Avoiding excessive neck extension is appropriate to protect the incision and promote healing post-thyroidectomy. Yellow drainage is a misconception, making this correct and incorrect for needing teaching, as it reflects proper understanding of activity limitations during the recovery period.
Correct Answer is D
Explanation
Choice A reason: Increased serum sodium is not expected in SIADH, which causes water retention, diluting sodium. Decreased sodium is typical, making this incorrect, as it contradicts the hyponatremia associated with SIADH in the nurse’s laboratory assessment of the hospitalized patient.
Choice B reason: Serum chloride may vary but isn’t primarily affected in SIADH, where hyponatremia is key. Decreased sodium is the expected finding, making this irrelevant and incorrect compared to the nurse’s focus on sodium levels in the patient with SIADH symptoms.
Choice C reason: Increased hematocrit suggests hemoconcentration, not typical in SIADH, where fluid retention dilutes blood components. Decreased sodium is expected, making this incorrect, as it does not align with the fluid dynamics of SIADH in the nurse’s laboratory evaluation.
Choice D reason: Decreased serum sodium (hyponatremia) results from water retention in SIADH, causing dilution. This aligns with endocrine disorder lab findings, making it the correct laboratory result the nurse would expect in a patient hospitalized with SIADH, headache, and muscle cramps.
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