The clinic nurse is assessing the client. The nurse evaluate...

The clinic nurse is assessing the client. The nurse evaluates that the client's levothyroxine dose is too low when which findings are noted on assessment? Select all that apply.

A. Increased appetite
B. Decreased sweating
C. Apathy and fatigue
D. Paresthesias
E. Finger and tongue tremors
F. Slowed mental processes

Correct Answer: B,C,D,F

Rationale: Decreased sweating, apathy, fatigue, paresthesias, and slowed mental processes indicate hypothyroidism, suggesting an inadequate levothyroxine dose.

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Which interrelated concepts could be identified as actual or potential for a 56-year-old male client diagnosed with diabetes mellitus type 2? Select all that apply.

A. Nutrition.
B. Metabolism.
C. Infection.
D. Male reproduction.
E. Skin integrity.

Correct Answer: A,B,C,E

Rationale: Nutrition, metabolism, infection, and skin integrity are impacted by type 2 diabetes due to dietary needs, glucose control, infection risk, and neuropathy. Male reproduction is less directly affected.

Which arterial blood gas results should the nurse expect in the client diagnosed with diabetic ketoacidosis?

A. pH 7.34, PaO2 99, PaCO2 48, HCO3 24.
B. pH 7.38, PaO2 95, PaCO2 40, HCO3 22.
C. pH 7.46, PaO2 85, PaCO2 30, HCO3 26.
D. pH 7.30, PaO2 90, PaCO2 30, HCO3 18.

Correct Answer: D

Rationale: DKA causes metabolic acidosis (low pH 7.30, low HCO3 18) with compensatory respiratory alkalosis (low PaCO2 30). Other options show normal or alkalotic states.

The client is diagnosed with hypothyroidism. Which signs/symptoms should the nurse expect the client to exhibit?

A. Complaints of extreme fatigue and hair loss.
B. Exophthalmos and complaints of nervousness.
C. Complaints of profuse sweating and flushed skin.
D. Tetany and complaints of stiffness of the hands.

Correct Answer: A

Rationale: Hypothyroidism causes fatigue and hair loss due to slowed metabolism. Exophthalmos/nervousness (hyperthyroidism), sweating, and tetany are unrelated.

The nurse assesses that the client diagnosed with Cushing's syndrome has an irregular HR, right arm ecchymosis, 4+ pitting edema in the legs, and a blood glucose of 140 mg/dL. Which action should be the nurse's priority?

A. Weigh the client again
B. Administer insulin as prescribed
C. Notify the health care provider
D. Measure the client's abdominal girth

Correct Answer: C

Rationale: The HCP should be notified immediately to address the irregular HR, which may result from hypokalemia, a common issue in Cushing's syndrome.

Which sign/symptom indicates to the nurse the client is experiencing hypoparathyroidism?

A. A negative Trousseau's sign.
B. A positive Chvostek's sign.
C. Nocturnal muscle cramps.
D. Tented skin turgor.

Correct Answer: B

Rationale: A positive Chvostek’s sign (facial twitching) indicates hypocalcemia from hypoparathyroidism. Negative Trousseau’s, cramps, and turgor are less specific.