Which of the following conditions would be expected with a client with an elevated thyroid-stimulating hormone (TSH) level with a decreased Triiodothyronine (T3) and Thyroxine (T4) level?
Increased serum calcium
Normal thyroid functioning
Hyperthyroidism
Hypothyroidism
The Correct Answer is D
Choice D rationale
An elevated thyroid-stimulating hormone (TSH) level combined with decreased Triiodothyronine (T3) and Thyroxine (T4) levels is indicative of hypothyroidism. This is due to the body attempting to stimulate the underactive thyroid gland to produce more thyroid hormones (Healthline, 2022).
Choice A rationale
Hyperparathyroidism, characterized by elevated serum calcium, does not involve thyroid hormone levels (nih.gov, n.d.).
Choice B rationale
Normal thyroid functioning would not exhibit elevated TSH with decreased T3 and T4 levels (Healthline, 2022).
Choice C rationale
Hyperthyroidism would present with low TSH levels and elevated T3 and T4 levels (Studocu, n.d.).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The prevalence of cystitis is not increased in men due to sexual practices. In fact, cystitis is more common in women due to the shorter length of the female urethra, which allows bacteria easier access to the bladder28.
Choice B rationale
Cystitis does not occur less frequently in women due to shorter urethras. In fact, the shorter length of the female urethra is one reason why women are more susceptible to urinary tract infections, including cystitis28.
Choice C rationale
While some clients with cystitis may be asymptomatic, many experience symptoms such as frequent urination, discomfort during urination, and lower abdominal pain28.
Choice D rationale
Hormonal changes, particularly those associated with menopause, can alter the normal flora of the urinary tract and increase the risk of cystitis. The decrease in estrogen levels that occurs during menopause can affect the balance of bacteria in the urinary tract and make postmenopausal women more susceptible to urinary tract infections, including cystitis28.
Correct Answer is B
Explanation
Choice A rationale
Pain in the left lower quadrant is not typically associated with acute gastritis. This symptom is more commonly associated with conditions affecting the lower left region of the abdomen, such as diverticulitis or kidney stones.
Choice B rationale
Epigastric pain is a common symptom of acute gastritis. This pain is often described as a gnawing or burning ache in the upper abdomen, and it may become either worse or better after eating.
Choice C rationale
Rectal pain is not typically associated with acute gastritis. This symptom is more commonly associated with conditions affecting the rectum or anus, such as hemorrhoids or anal fissures.
Choice D rationale
Chronic pain in the right upper quadrant is not typically associated with acute gastritis. This symptom is more commonly associated with conditions affecting the liver or gallbladder, such as gallstones or hepatitis.
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