Nokea
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 statement provides the best evidence that the client who has undergone a bilateral adrenalectomy understands the postoperative course?
- A. I should avoid people with infectious diseases.
- B. I need to limit my fluid intake to 1 quart per day.
- C. My appearance will never be the same as it was before.
- D. No other treatment is necessary after I recover from surgery.
Correct Answer: A
Rationale: Avoiding infections is critical post-adrenalectomy due to lifelong steroid replacement and immunosuppression.
Which statement indicates that the client has misunderstood the nurse's teaching?
- A. I may need more insulin during times of stress.
- B. I may need more food when exercising strenuously.
- C. My insulin needs may change as I get older.
- D. My dependence on insulin may stop eventually.
Correct Answer: D
Rationale: Type 1 diabetes requires lifelong insulin therapy, so dependence will not stop.
Which laboratory test is most important for the nurse to monitor to determine how effectively the client's diabetes is being managed?
- A. Fasting blood glucose
- B. Blood chemistry profile
- C. Complete blood count
- D. Glycosylated hemoglobin (HbA1c)
Correct Answer: D
Rationale: HbA1c reflects average blood glucose control over 2-3 months, indicating long-term diabetes management.
Which laboratory value should be monitored by the nurse for the client diagnosed with diabetes insipidus?
- A. Serum sodium.
- B. Serum calcium.
- C. Urine glucose.
- D. Urine white blood cells.
Correct Answer: A
Rationale: Diabetes insipidus causes dilute urine, risking hypernatremia; serum sodium monitoring is critical. Calcium, urine glucose, and WBCs are unrelated.
Which I.V. medication can the nurse expect the physician to order to treat the client's condition?
- A. Calcium gluconate
- B. Ferrous sulfate
- C. Potassium chloride
- D. Sodium bicarbonate
Correct Answer: A
Rationale: Calcium gluconate is used to treat tetany caused by hypocalcemia in hypoparathyroidism.