Nokea
Which client statement indicates the need for further teaching about thyroidectomy postoperative care?
- A. I should support my neck when sitting up.
- B. I may need calcium supplements.
- C. I can resume normal activities immediately.
- D. I should report any voice changes.
Correct Answer: C
Rationale: Resuming normal activities immediately post-thyroidectomy is incorrect due to the risk of complications like bleeding or hypocalcemia.
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The nurse teaches the client with newly diagnosed diabetes mellitus about the signs and symptoms of hypoglycemia. Which of the following should the nurse stress in teaching? Select all that apply.
- A. Sleepiness
- B. Shallow
- C. Thirst
- D. Hunger
- E. Diaphoresis
- F. Confusion
Correct Answer: D,E,F
Rationale: Hypoglycemia causes hunger, diaphoresis, and confusion due to low blood glucose affecting the brain and body.
The nurse is planning a program for clients at a health fair regarding the prevention and early detection of cancer of the pancreas. Which self-care activity should the nurse discuss as an example of a primary nursing intervention?
- A. Monitor for elevated blood glucose at random intervals.
- B. Inspect the skin and sclera of the eyes for a yellow tint.
- C. Limit meat in the diet and eat a diet low in fat.
- D. Instruct the client with hyperglycemia about insulin injections.
Correct Answer: C
Rationale: A low-fat diet reduces pancreatic stress, a primary prevention strategy. Glucose monitoring, jaundice inspection, and insulin teaching are secondary or tertiary.
The nurse knows the diabetic client understands what 'free' foods on the exchange list means if the client excludes which one of the following from a meal plan?
- A. Iced tea
- B. Flavored water
- C. Light beer
- D. Club soda
Correct Answer: C
Rationale: Light beer contains carbohydrates and calories, unlike free foods such as iced tea, flavored water, and club soda.
The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?
- A. I will keep a list of my medications in my wallet and wear a Medic Alert bracelet.
- B. I should take my medication in the morning and leave it refrigerated at home.
- C. I should weigh myself every morning and record any weight gain.
- D. If I develop a tightness in my chest, I will call my health-care provider.
Correct Answer: B
Rationale: Desmopressin (DI medication) requires consistent dosing, not morning-only, and storage instructions are vague; this needs clarification. Other statements are appropriate.
The nurse is caring for the client newly diagnosed with hypothyroidism. Which problem should the nurse include in the plan of care?
- A. Diarrhea due to gastrointestinal (GI) hypermotility
- B. Imbalanced nutrition due to insufficient calorie intake
- C. Activity intolerance due to increased metabolic rate
- D. Anxiety due to forgetfulness and slowed speech
Correct Answer: D
Rationale: Forgetfulness and slowed speech that occur with hypothyroidism can cause the client to be anxious.