Nokea
Which characteristic findings would the nurse expect to assess in a client with Addison's disease? Select all that apply.
- A. Salt craving
- B. Skin blemishes
- C. Moon-shaped face
- D. Bronzed skin
- E. Hypoglycemia
- F. Weight loss
Correct Answer: A,D,E,F
Rationale: Addison's disease causes adrenal insufficiency, leading to salt craving, bronzed skin, hypoglycemia, and weight loss.
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Which statement made by the client makes the nurse suspect the client is experiencing hyperthyroidism?
- A. I just don't seem to have any appetite anymore.
- B. I have a bowel movement about every three (3) to four (4) days.
- C. My skin is really becoming dry and coarse.
- D. I have noticed all my collars are getting tighter.
Correct Answer: D
Rationale: Tight collars suggest goiter, a hyperthyroidism symptom. Anorexia, constipation, and dry skin are hypothyroid-related.
Which statement by the client indicates a misunderstanding of the expected surgical outcome?
- A. My appearance will gradually become normal.
- B. I'll need to take replacement hormones.
- C. I'll need to see my physician regularly.
- D. The surgical incision will be inconspicuous.
Correct Answer: A
Rationale: In acromegaly, physical changes such as enlarged hands or facial features are typically irreversible, even after surgery.
Which nursing interventions are most appropriate for nursing in the health of a client with Cushing's syndrome? Select all that apply.
- A. Have the client sleep on a convoluted (egg-crate) foam mattress.
- B. Ambulate the client at frequent intervals.
- C. Advise the client to ask for assistance when getting up.
- D. Offer high-carbohydrate nourishment.
- E. Check the client frequently for suicidal ideation.
- F. Instruct the client to wear loose-fitting clothing.
Correct Answer: A,C,E,F
Rationale: These interventions address skin breakdown, fall risk, mood changes, and comfort in Cushing's syndrome.
An adult with myxedema is started on thyroid replacement therapy and is discharged. The client returns to the doctor's office one week later. Which statement that the client makes is most indicative of an adverse reaction to the medication?
- A. My chest hurt when I was sweeping the floor this morning.'
- B. I had severe cramps last night.'
- C. I am losing weight.'
- D. My pulse rate has been more rapid lately.'
Correct Answer: A
Rationale: Chest pain during activity suggests angina, a potential adverse effect of thyroid replacement therapy due to increased metabolic demand.
A client who has just had a thyroidectomy returns to the unit in stable condition. What equipment is it essential for the nurse to have readily available?
- A. Tracheostomy set
- B. Thoracotomy tray
- C. Dressing set
- D. Ice collar
Correct Answer: A
Rationale: A tracheostomy set is essential post-thyroidectomy due to the risk of airway obstruction from swelling or hematoma.