Nokea
The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. Which of the following laboratory results is an expected finding?
- A. Decreased thyrotropin receptor antibodies
- B. Decreased free thyroxine index
- C. Decreased triiodothyronine
- D. Decreased thyroid-stimulating hormone (TSH)
Correct Answer: D
Rationale: The correct answer is D: Decreased thyroid-stimulating hormone (TSH). In Graves' disease, there is excessive production of thyroid hormones, leading to negative feedback on the pituitary gland, resulting in decreased TSH levels. This is because the elevated thyroid hormone levels signal the pituitary gland to decrease TSH production.
A: Decreased thyrotropin receptor antibodies - This is incorrect as Graves' disease is associated with increased levels of these antibodies.
B: Decreased free thyroxine index - This is incorrect as Graves' disease typically presents with elevated levels of free thyroxine.
C: Decreased triiodothyronine - This is incorrect as Graves' disease is characterized by elevated levels of triiodothyronine due to increased thyroid hormone production.
In summary, the expected finding in Graves' disease is a decreased TSH level due to the negative feedback mechanism, making option D the correct choice.
You may also like to solve these questions
A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting,and now the client is pacing up and down the hallways of the unit. Which of the following actions should the nurse take?
- A. Instruct the client to sit down and stop pacing.
- B. Allow the client to pace alone until physically tired.
- C. Have a staff member escort the client to her room.
- D. Walk with the client at a gradually slower pace.
Correct Answer: D
Rationale: Walking with the client calmly reduces anxiety while providing support.
Which of the following is a potential dietary recommendation for a client with iron-deficiency anemia?
- A. Limit intake of iron-rich foods to prevent iron overload
- B. Focus on consuming foods high in vitamin C to enhance iron absorption
- C. Avoid foods high in iron such as leafy greens and legumes
- D. Increase intake of iron-rich foods such as red meat and spinach
Correct Answer: B,D
Rationale: The correct answers are B and D. Answer B suggests focusing on consuming foods high in vitamin C to enhance iron absorption. Vitamin C helps increase the absorption of non-heme iron found in plant-based foods, which is important for individuals with iron-deficiency anemia. Answer D recommends increasing intake of iron-rich foods such as red meat and spinach. Red meat contains heme iron, which is more easily absorbed by the body compared to non-heme iron. Therefore, including both vitamin C-rich foods and heme iron sources in the diet can help improve iron levels in individuals with iron-deficiency anemia.
Incorrect choices:
A: Limiting intake of iron-rich foods would not be advisable for someone with iron-deficiency anemia.
C: Avoiding foods high in iron would worsen the condition of iron-deficiency anemia.
E, F, G: No information provided.
A nurse is caring for a client who is refusing to attend group therapy. The client states,I don't know why you think I need therapy. I am fine without it. Which of the following responses by the nurse indicates a therapeutic response?
- A. I understand that you feel like you don't need it; however, the provider thinks it will help.
- B. You don't feel like group therapy is for you. Tell me more about what you know about group therapy.
- C. I am not saying that you need therapy, but I am sure it will help you.
- D. You don't have to be afraid to go. Our therapists are very understanding.
Correct Answer: B
Rationale: Correct Answer: B
Rationale: Option B demonstrates therapeutic communication by showing empathy and understanding towards the client's feelings and inviting further discussion. By encouraging the client to express their thoughts on group therapy, the nurse opens up a dialogue to explore the client's beliefs and concerns, fostering trust and rapport. This approach respects the client's autonomy and promotes client-centered care.
Summary of Incorrect Choices:
A: This response dismisses the client's feelings and focuses on the provider's opinion, potentially alienating the client and not addressing their concerns.
C: This response minimizes the client's feelings and imposes the nurse's beliefs, which may lead to resistance and hinder the therapeutic relationship.
D: This response invalidates the client's emotions by assuming fear as the underlying issue and may create defensiveness rather than addressing the client's actual concerns.
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients with bipolar disorder? (Select all that apply.)
- A. Valproate (Depakote)
- B. Carbamazepine (Tegretol)
- C. Lithium (Eskalith)
- D. Donepezil (Aricept)
- E. Paroxetine (Paxil)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Valproate, Carbamazepine, and Lithium are commonly used to treat clients with bipolar disorder. Valproate helps stabilize mood swings, Carbamazepine is effective for manic episodes, and Lithium is a mood stabilizer that reduces the frequency and intensity of manic episodes. Donepezil is used to treat Alzheimer's disease, not bipolar disorder. Paroxetine is an antidepressant used for treating depression and anxiety disorders, not specifically for bipolar disorder. In summary, Valproate, Carbamazepine, and Lithium are the appropriate medications for managing bipolar disorder, while Donepezil and Paroxetine are not typically used for this purpose.
A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks,Is there a medication that can help my child? Which of the following responses should the nurse make?
- A. Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use.
- B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you.
- C. Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.
- D. It's a common misconception that there is a medication available to treat every health problem.
Correct Answer: A
Rationale: The correct answer is A: Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use. ODD is primarily a behavioral disorder, not a chemical imbalance, so medication is not typically the first-line treatment. Behavioral strategies such as cognitive-behavioral therapy, parent training, and family therapy are more effective in managing ODD symptoms. Other choices are incorrect because they either suggest medication as the primary treatment without acknowledging the behavioral aspect of ODD (B), state inaccuracies about medication use for ODD (C), or divert the conversation away from addressing the parent's concerns (D).