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 A
Explanation
Choice A rationale
The most common first sign of breast cancer is a new lump or mass in the breast. However, not all lumps are cancerous, and some may be benign or non-cancerous19.
Choice B rationale
Chest pain is not typically associated with breast cancer. While it can occur in some cases, it is not usually the first clinical sign19.
Choice C rationale
Breast dimpling can be a sign of breast cancer, but it is not usually the first clinical sign. It is more commonly associated with more advanced stages of the disease19.
Choice D rationale
Unilateral nipple discharge can be a sign of breast cancer, but it is not usually the first clinical sign. It is more commonly associated with more advanced stages of the disease19.
Correct Answer is D
Explanation
Choice D rationale
Type 1 diabetes mellitus often begins during childhood or adolescence, characterized by an absolute insulin deficiency due to autoimmune destruction of pancreatic beta cells (nih.gov, n.d.).
Choice A rationale
Relative insulin insufficiency or insulin resistance typically develops in type 2 diabetes mellitus (nih.gov, n.d.).
Choice B rationale
Type 1 diabetes mellitus requires insulin therapy, as diet, weight control, exercise, and oral hypoglycemics are usually insufficient (nih.gov, n.d.).
Choice C rationale
Complications such as neuropathy, retinopathy, and nephropathy can occur with type 1 diabetes mellitus (nih.gov, n.d.).
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