Nokea
In addition to amenorrhea, which other signs of myxedema is the nurse likely to observe in this client? Select all that apply.
- A. Hoarse, raspy voice
- B. Oily skin with large pores
- C. Thin trunk and extremities
- D. Exireme restlessness
- E. Low body temperature
- F. Decreased blood pressure
Correct Answer: A,E,F
Rationale: Myxedema (hypothyroidism) causes a hoarse voice, low body temperature, and decreased blood pressure due to slowed metabolism.
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When the client practices self-administration of the insulin, which action is correct?
- A. Piercing the skin at a 30-degree angle
- B. Using a syringe calibrated in minims
- C. Using a 29-gauge needle on the syringe
- D. Rotating abdominal sites for each injection
Correct Answer: D
Rationale: Rotating abdominal sites prevents lipodystrophy and ensures consistent insulin absorption.
An adult is admitted to the hospital with a diagnosis of hypothyroidism. Which findings would the nurse most likely elicit during the nursing assessment?
- A. Elevated blood pressure and temperature
- B. Tachycardia and weight gain
- C. Hypothermia and constipation
- D. Moist skin and coarse hair
Correct Answer: C
Rationale: Hypothyroidism causes hypothermia and constipation due to slowed metabolism, unlike the other symptoms.
To prepare for potential postoperative complications related to the thyroidectomy, which item is necessary to keep at the client's bedside?
- A. Dressing change kit
- B. Tracheostomy tray
- C. Ampule of epinephrine
- D. Mechanical ventilator
Correct Answer: B
Rationale: A tracheostomy tray is essential in case of airway obstruction due to swelling or hematoma post-thyroidectomy.
Based on the knowledge that clients with Cushing's syndrome heal slowly, which nursing measure is most appropriate during the client's postoperative period?
- A. Monitoring infusion of I.V. antibiotics
- B. Removing tape toward the incision site
- C. Increasing the client's dietary protein intake
- D. Covering the wound with gauze
Correct Answer: C
Rationale: Increased dietary protein supports tissue repair and healing in Cushing's syndrome.
The nurse is teaching the client diagnosed with diabetes. Which should the nurse teach to limit the complications of diabetes?
- A. Teach the client to keep the blood glucose under 140 mg/dL.
- B. Demonstrate how to test the urine for ketones.
- C. Instruct the client to apply petroleum jelly between the toes.
- D. Allow the client to eat meals as desired and then take insulin.
Correct Answer: A
Rationale: Maintaining blood glucose <140 mg/dL prevents complications like neuropathy and retinopathy. Ketone testing is for type 1, petroleum jelly is incorrect, and meal-based insulin is unsafe.