Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

Poor dentition

Skin is pink, dry and warm

Client states, "I can't seem to get warm lately"

Weight gain of five pounds in two months

Periorbital non-pitting edema

Answer and Explanation

Correct Answer : A,C,E

A.   Poor dental health can be linked to hypothyroidism, as it may cause a decrease in oral health.
B.   Skin should be dry and cool in hypothyroidism, making this finding abnormal.
C.   Client states, "I can't seem to get warm lately." Cold intolerance is a hallmark symptom of hypothyroidism due to slowed metabolism.
D.   Weight gain of five pounds in two months. Mild weight gain can occur in hypothyroidism but may not be significant enough to consider abnormal without other symptoms.
E.   Periorbital non-pitting edema. This finding is common in hypothyroidism and indicates water retention around the eyes.

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Correct Answer is A

Explanation

A. The whispered voice test is used to assess the function of Cranial Nerve VIII, which is responsible for hearing and balance. The nurse's whisper tests the auditory function of this nerve.
B. The vagus nerve is involved in swallowing, voice production, and parasympathetic functions but is not assessed by whispering.
C. This nerve controls lateral eye movement, and a whispered voice test does not assess eye movement.
D. This nerve also controls eye movement, specifically the superior oblique muscle, and is not evaluated by the whispered voice test.

A. When asking if the client took his medications this morning B. When determining if the client is eating a well-balanced diet C. When asking the client about his receptiveness to the transfer D. When asking the client how he completes his ADLS

Correct Answer is A

Explanation

A. Closed-ended questions are useful for obtaining specific information, such as whether the client took their medication. Yes/no responses provide clarity and a quick assessment of adherence.
B. When determining if the client is eating a well-balanced diet. Open-ended questions would be more appropriate here to gather detailed information about the client’s dietary habits.
C. When asking the client about his receptiveness to the transfer. Open-ended questions would be better for understanding the client's feelings about the transfer, as they allow the client to express their thoughts fully.
D. When asking the client how he completes his ADLs. Open-ended questions allow clients to describe their ability to perform activities of daily living, which provides a more comprehensive view of their functional abilities.

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Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse stands behind the client and whispers "5-B-6." This technique is used to assess which of the following Cranial Nerves?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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