Nokea
The nurse is providing an in-service on thyroid disorders. One of the attendees asks the nurse, 'Why don't the people in the United States get goiters as often?' Which statement by the nurse is the best response?
- A. It is because of the screening techniques used in the United States.
- B. It is a genetic predisposition rare in North Americans.
- C. The medications available in the United States decrease goiters.
- D. Iodized salt helps prevent the development of goiters in the United States.
Correct Answer: D
Rationale: Iodized salt provides dietary iodine, preventing iodine deficiency goiters common elsewhere. Screening, genetics, and medications are not primary reasons.
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The health-care provider has ordered 40 g/24 hr of intranasal vasopressin for a client diagnosed with diabetes insipidus. Each metered spray delivers 10 g. The client takes the medication every 12 hours. How many sprays are delivered at each dosing time?
Correct Answer: 2 sprays
Rationale: Total dose: 40 g/24 hr, split every 12 hr = 20 g/dose. Each spray = 10 g, so 20 g ÷ 10 g/spray = 2 sprays per dose.
What must the nurse do when preparing a client for a computed tomography (CT) scan?
- A. Administer a laxative prep
- B. Encourage fluids
- C. Explain the procedure
- D. Administer a radioisotope
Correct Answer: C
Rationale: Explaining the procedure reduces anxiety and ensures cooperation. A CT scan may involve iodine dye, so checking for allergies (e.g., shellfish) is also important, but explanation is primary.
The diabetic client tells the nurse that breakfast is always skipped. Which response by the nurse is most appropriate?
- A. If you drink a glass of milk and eat a breakfast bar, that will be sufficient for breakfast.
- B. You should eat each meal and snack at the same time each day.
- C. If you skip breakfast, eat a high-calorie snack at midmorning.
- D. Wait to take your medication until you eat your first meal of the day.
Correct Answer: B
Rationale: Consistent meal timing is crucial for blood glucose control in diabetes.
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.
The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The nurse identifies the problem 'high risk for hyperglycemia related to noncompliance with the medication regimen.' Which statement is an appropriate short-term goal for the client?
- A. The client will have a blood glucose level between 90 and 140 mg/dL.
- B. The client will demonstrate appropriate insulin injection technique.
- C. The nurse will monitor the client's blood glucose levels four (4) times a day.
- D. The client will maintain normal kidney function with 30-mL/hr urine output.
Correct Answer: B
Rationale: Demonstrating correct insulin injection technique addresses noncompliance, a short-term, client-centered goal. Glucose levels and kidney function are outcomes, and nurse monitoring is not client-focused.