Which assessment finding of a postmenopausal woman necessitates a referral by the nurse to a healthcare provider for evaluation of thyroid functioning?
Leg numbness.
Cold sensitivity.
Slow weight loss.
Muscle weakness.
The Correct Answer is B
Choice A reason: Leg numbness is not a typical symptom of thyroid dysfunction and may be related to other conditions such as peripheral neuropathy.
Choice B reason: Cold sensitivity is a common symptom of hypothyroidism and warrants evaluation of thyroid function.
Choice C reason: Slow weight loss is not a typical symptom of thyroid dysfunction; unexplained weight gain is more indicative of hypothyroidism.
Choice D reason: Muscle weakness can be associated with various conditions, but cold sensitivity is more specific to thyroid issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Starting with less sensitive questions helps build rapport and makes the client feel more comfortable before addressing more sensitive topics such as domestic violence.
Choice B reason: Getting the most difficult questions over with first can make the client feel uncomfortable and defensive, potentially hindering the interview process.
Choice C reason: Sharing personal values is not appropriate and can bias the interview, making the client less likely to open up.
Choice D reason: Asking vague, nonspecific questions does not help gather the necessary information effectively and may confuse the client.
Correct Answer is D
Explanation
Choice A reason: Preparing the client for a CT scan is important for diagnostic purposes but is not the immediate priority in managing severe pain.
Choice B reason: Straining the urine for stones is important for confirming the presence of renal calculi but should be done after managing the acute pain.
Choice C reason: Obtaining a urine specimen for analysis is useful for diagnosing infection or other abnormalities but is secondary to pain management.
Choice D reason: Administering a prescribed opioid analgesic is the first priority to relieve the client's severe pain and provide comfort.
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