Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?

Decreased respirations and CO2 retention

Seizures and extreme tachycardia

Constipation and a swollen abdomen

Hypotension and bradycardia

Answer and Explanation

The Correct Answer is B

A. Decreased respirations and CO2 retention: A thyrotoxic crisis (thyroid storm) typically involves increased, not decreased, respiratory rates and CO2 retention due to increased metabolic activity.

B. Seizures and extreme tachycardia: Thyrotoxic crisis is characterized by severe symptoms including extreme tachycardia, fever, and potentially seizures due to excessive thyroid hormone levels.

C. Constipation and a swollen abdomen: Constipation and abdominal swelling are more typical of hypothyroidism rather than a thyrotoxic crisis.

D. Hypotension and bradycardia: Thyrotoxic crisis usually causes tachycardia and hypertension rather than bradycardia and hypotension.

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Correct Answer is D

Explanation

26. A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?

elevated serum protein hyperproteinemia
decreased serum liver enzymes (ALT).
elevated number of platelets thrombocytosis)
decreased level of clotting factors.

Correct answer:

A. Elevated serum protein hyperproteinemia: In cirrhosis, serum protein levels, particularly albumin, are often decreased due to impaired liver synthesis.

B. Decreased serum liver enzymes (ALT): In cirrhosis, liver enzyme levels such as ALT (alanine aminotransferase) are typically elevated due to liver damage and inflammation.

C. Elevated number of platelets (thrombocytosis): Cirrhosis often leads to thrombocytopenia (decreased platelet count) due to splenomegaly and decreased production of thrombopoietin.

D. Decreased level of clotting factors: The liver synthesizes most clotting factors, and in cirrhosis, the production of these factors is impaired, leading to decreased levels and increased bleeding risk.

A. Elevating the head of the bed promotes venous return and helps increase the ICP. B. Elevation of the head of the bed aids in maintaining cerebral perfusion. C. Elevation of the head of the bed will increase intracranial pressure (ICP). D. The nurse should keep the head of the bed flat to ensure adequate arterial circulation.

Correct Answer is B

Explanation

A. Elevating the head of the bed promotes venous return and helps increase the ICP: This is incorrect. Elevation of the head of the bed helps to decrease intracranial pressure (ICP) by promoting venous drainage rather than increasing it.

B. Elevation of the head of the bed aids in maintaining cerebral perfusion: Elevating the head of the bed helps to decrease ICP, which in turn aids in maintaining adequate cerebral perfusion pressure.

C. Elevation of the head of the bed will increase intracranial pressure (ICP): This is incorrect. Elevation of the head of the bed is intended to reduce ICP, not increase it.

D. The nurse should keep the head of the bed flat to ensure adequate arterial circulation: This is incorrect. Keeping the head of the bed flat can increase ICP, which is counterproductive in managing intracranial pressure.

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Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?

Correct Answer is D

Explanation

A patient is admitted to the ED (emergency department) with an intracranial problem. Upon arrival the RN (registered nurse) immediately ensures that the head of the bed is elevated at 35 degrees. Identify the pathophysiological rational for this intervention?

Correct Answer is B

Explanation

Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?

A patient has recently been diagnosed with multiple sclerosis. Which response best explains the etiology of multiple sclerosis (MS)?

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