Nokea
Which information should be obtained from the patient before treatment with iodine-131?
- A. Presence of metal in the body
- B. Allergy to sulfa drugs
- C. Status of possible pregnancy
- D. Use of prescription drugs for hypertension
Correct Answer: C
Rationale: Iodine-131 is not a radiation hazard to the nonpregnant patient but is absolutely contraindicated during pregnancy. Pregnant nurses should not care for this patient for several days.
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For which reason would a patient with hyperthyroidism be prescribed the drug methimazole?
- A. To limit the effect of the pituitary on the thyroid.
- B. To destroy part of the hyperactive thyroid tissue.
- C. To stimulate the pineal gland.
- D. To block the production of thyroid hormones.
Correct Answer: D
Rationale: Medical management for hyperthyroidism may include administration of drugs that block the production of thyroid hormones, such as propylthiouracil or methimazole.
As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy, the patient has a spasm of the facial muscles. The nurse will recognize this as which sign?
- A. Chvostek sign
- B. Montgomery sign
- C. Trousseau sign
- D. Homans' sign
Correct Answer: A
Rationale: The spasm of facial muscles when stimulated is the Chvostek sign, an indication of hypocalcemic tetany.
In diabetes insipidus, a deficiency of which hormone causes clinical manifestations?
- A. Antidiuretic hormone (ADH)
- B. Follicle-stimulating hormone (FSH)
- C. Thyroid-stimulating hormone (TSH)
- D. Adrenocorticotropic hormone (ACTH)
Correct Answer: A
Rationale: Diabetes insipidus develops when there is a decrease in production of ADH from the posterior pituitary or the action of ADH is diminished.
A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation. The nurse will reinforce instructions for which nutritional interventions?
- A. Frequent small meals high in carbohydrates
- B. Calorie-restricted meals
- C. Caffeine-rich beverages
- D. Fluid restrictions
Correct Answer: B
Rationale: A high-protein, high-fiber, lower calorie diet is given.
The nurse expects to see which intervention in the plan of care for a patient who has recently been diagnosed with acromegaly?
- A. Encourage fluids
- B. Maintain leg joints in flexion
- C. Assist with activities of daily living
- D. Monitor for episodes of bleeding into the joints
Correct Answer: C
Rationale: Nursing interventions are mainly supportive. The presence of muscle weakness, joint pain, or stiffness warrants assisting with activities of daily living.