Nokea
Which client statement indicates a correct understanding of corticosteroid therapy for Addison's disease?
- A. I can stop the medication if I feel better.
- B. I need to take this medication daily.
- C. I should take it only during stress.
- D. I can double the dose if I'm sick.
Correct Answer: B
Rationale: Corticosteroid therapy for Addison's disease requires daily administration to replace deficient hormones and maintain physiological balance.
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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 should assess for hypocalcemia based on which client statements after a subtotal thyroidectomy?
- A. I feel tingling in my hands and feet.
- B. I have a headache.
- C. I feel sleepy.
- D. I have a sore throat.
Correct Answer: A
Rationale: Tingling in the hands and feet indicates hypocalcemia, a potential complication due to parathyroid gland damage during thyroidectomy.
The client diagnosed with Addison's disease is admitted to the emergency department after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should the nurse implement?
- A. Start an IV with an 18-gauge needle and infuse NS rapidly.
- B. Have the client wait in the waiting room until a bed is available.
- C. Obtain a permit for the client to receive a blood transfusion.
- D. Collect urinalysis and blood samples for a CBC and calcium level.
Correct Answer: A
Rationale: Lethargy, confusion, and weakness suggest Addisonian crisis; rapid NS infusion corrects hypotension and dehydration. Waiting, transfusions, and labs are inappropriate first steps.
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.
Which sign/symptom should the nurse expect in the client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?
- A. Excessive thirst.
- B. Orthopnea.
- C. Ascites.
- D. Concentrated urine output.
Correct Answer: D
Rationale: SIADH causes excessive ADH, leading to water retention, hyponatremia, and concentrated urine output due to reduced urine volume. Excessive thirst is typical of diabetes insipidus, orthopnea relates to heart failure, and ascites is linked to liver disease.