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 D
Explanation
Choice A reason: Hemorrhagic stroke is rare in seizure disorders, which are primarily neurological. Status epilepticus is a frequent, life-threatening complication, making this incorrect, as it does not represent the most common issue faced by patients with seizure disorders under nursing care.
Choice B reason: Lifestyle effects are significant but not a medical complication like status epilepticus, which is a direct seizure-related emergency. This is incorrect, as it addresses quality of life rather than the most common clinical complication in patients with seizure disorders.
Choice C reason: Broken bones can occur during seizures but are less common than status epilepticus, a medical emergency. This is incorrect, as it is a secondary injury rather than the primary complication the nurse would anticipate in a patient with a seizure disorder.
Choice D reason: Status epilepticus, prolonged or repeated seizures without recovery, is the most common serious complication in seizure disorders, requiring urgent intervention. This aligns with neurological nursing care, making it the correct complication the nurse would prioritize in patient management.
Correct Answer is D
Explanation
Choice A reason: Daily weighing monitors fluid changes but is less specific than fluid restriction, the cornerstone of chronic SIADH management. Limiting fluid intake directly addresses hyponatremia, making this secondary and incorrect compared to the primary teaching point for effective patient understanding.
Choice B reason: High-potassium foods relate to diuretic use, not standard in chronic SIADH, where fluid restriction is key. This is incorrect, as it misapplies treatment principles, unlike fluid limitation, which correctly reflects the nurse’s teaching on managing chronic SIADH effectively.
Choice C reason: Low-sodium diets may help but are not the primary focus in chronic SIADH, where fluid restriction prevents hyponatremia. This is incorrect, as it’s less critical than fluid limitation, which demonstrates the patient’s accurate understanding of the nurse’s teaching.
Choice D reason: Limiting fluid intake prevents water retention and hyponatremia in chronic SIADH, reflecting effective teaching. This aligns with endocrine management guidelines, making it the correct statement indicating the patient’s understanding of the nurse’s education on managing chronic SIADH.
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