Nokea
A nurse is educating a 28-year-old female client about the impacts of hypothyroidism on overall health. Which of the following statements would the nurse include in the teaching?
- A. If you become pregnant, low thyroid hormone levels can affect your developing fetus.
- B. Hypothyroidism can cause autoimmune disorders over time.
- C. Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase.
- D. Low blood pressure is usually associated with hypothyroidism.
Correct Answer: A
Rationale: Rationale: The correct answer is A because hypothyroidism, characterized by low thyroid hormone levels, can lead to complications during pregnancy, affecting fetal development. This is due to the essential role of thyroid hormones in fetal brain and nervous system development.
Summary of Incorrect Choices:
B: Hypothyroidism is linked to autoimmune disorders, not a consequence of it.
C: Hypothyroidism actually slows down metabolism and heart rate due to decreased thyroid hormone levels.
D: Low blood pressure is more commonly associated with hyperthyroidism, where the thyroid is overactive.
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A nurse educator is discussing community mental health with a group of nursing students. Based on the public health model,which of the following statements made by one of the students indicates correct information about primary prevention?
- A. Services aimed at reducing the incidence of mental disorders within the population.
- B. Services aimed at reducing the residual defects that are associated with severe and persistent mental illness.
- C. Accomplished through early identification of problems and prompt initiation of effective treatment.
- D. Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness.
Correct Answer: A
Rationale: The correct answer is A. Primary prevention focuses on reducing the incidence of mental disorders within the population by implementing strategies to prevent the development of mental health issues. This is achieved through promoting mental wellness, addressing risk factors, and enhancing protective factors in the community.
Choice B is incorrect as it refers to secondary prevention, which aims to reduce the residual defects associated with existing mental illness. Choice C describes early intervention, which is part of secondary prevention. Choice D is related to tertiary prevention, which involves minimizing symptoms and preventing complications of an existing illness. Overall, only choice A aligns with the concept of primary prevention in community mental health.
A nurse is admitting a client with a history of alcohol use disorder. The nurse is aware that which of the following are potential physical symptoms of alcohol withdrawal? (Select all that apply.)
- A. Seizures
- B. Tachycardia
- C. Hallucinations
- D. Tremors
- E. Hypotension
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D. Alcohol withdrawal can lead to seizures due to hyperexcitability of the nervous system. Tachycardia is common as alcohol withdrawal can cause increased heart rate and blood pressure. Hallucinations are possible due to disturbances in brain function. Tremors are a typical symptom of alcohol withdrawal, known as "the shakes." Choices E and F, hypotension and G, are not typically associated with alcohol withdrawal. In summary, the correct symptoms are related to central nervous system hyperactivity, while the incorrect choices are not commonly observed in alcohol withdrawal.
A nurse is developing a plan of care for a client with bipolar I disorder,hospitalized for heart failure and showing signs of lithium toxicity. Which of the following interventions should the nurse include? (Select all that apply.)
- A. Set up a dietary consult for a low-sodium diet.
- B. Notify the provider of potential medication interactions.
- C. Withhold next dose of lithium.
- D. Educate the client about the need for hemodialysis.
- E. Discuss contraception.
- F. Assess need for and administer prochlorperazine PRN.
Correct Answer: B
Rationale:
A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system,the client responds My mom died last year, and I have been in foster care ever since. I don't have many friends. Which of the following actions should the nurse take?
- A. Tell the client that being in foster care can help with coping.
- B. Explain how grief support groups could increase coping and social support.
- C. Encourage the client to ask the provider for medication.
- D. Suggest using the internet as a source for finding supportive friends.
Correct Answer: B
Rationale: The correct answer is B. The nurse should explain how grief support groups could increase coping and social support. Grief support groups provide a safe space for individuals to share their experiences, receive empathy, and learn coping strategies. This is particularly important for the adolescent client who has experienced significant loss and lacks a strong social support system. By participating in a grief support group, the client can connect with others who have had similar experiences, feel understood, and build new supportive relationships. This intervention addresses the client's need for social support and coping mechanisms.
Choices A, C, and D are incorrect. A: Being in foster care may provide some support, but it does not address the client's specific need for coping with grief and building a social support system. C: Encouraging the client to ask for medication is not appropriate without first exploring non-pharmacological interventions. D: Suggesting the internet as a source for finding friends does not address the client's need for emotional support and may not
Which of the following is a characteristic sign of hyperthyroidism?
- A. Cold intolerance
- B. Fatigue and lethargy
- C. Tremors and nervousness
- D. Weight gain
Correct Answer: C
Rationale: The correct answer is C: Tremors and nervousness. Hyperthyroidism is an overactive thyroid gland leading to an excess of thyroid hormones. Tremors and nervousness are classic symptoms due to the increased metabolic rate. Cold intolerance (A) is a symptom of hypothyroidism, not hyperthyroidism. Fatigue and lethargy (B) are common in hypothyroidism, not hyperthyroidism. Weight gain (D) is also more indicative of hypothyroidism. Therefore, the presence of tremors and nervousness (C) is the characteristic sign of hyperthyroidism.