Nokea
Which instructions will the nurse reinforce in the discharge instructions for a 47-year-old patient with hypothyroidism?
- A. Taking medication whenever symptoms cause discomfort
- B. Decreasing fluid and fiber intake
- C. Consuming foods rich in iron
- D. Seeing the health care provider regularly for follow-up care
Correct Answer: D
Rationale: Regular checkups are essential, because drug dosage may have to be adjusted from time to time.
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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.
A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion. The nurse will inform the patient of which potential complication?
- A. Osteoporosis
- B. Lethargy
- C. Laryngeal spasms
- D. Kidney stones
Correct Answer: C
Rationale: Decreased parathyroid hormone levels in the bloodstream cause a decreased calcium level. Severe hypocalcemia may result in laryngeal spasm, stridor, cyanosis, and increased possibility of asphyxia.
Another term for hyperglycemic reaction is diabetic ___
Correct Answer: ketoacidosis
Rationale: Hyperglycemic reaction-the body eliminates the excess glucose by the kidneys releasing it in the urine. Diabetic ketoacidosis (DKA) (acidosis accompanied by an accumulation of ketones in the blood), formerly called diabetic coma, may develop and the patient could die. DKA is a severe metabolic disturbance caused by an acute insulin deficiency, decreased peripheral glucose use, and increased fat mobilization and ketogenesis.
The nurse is administering long-acting insulin once a day, which provides insulin coverage for 24 hours. This insulin is ___
Correct Answer: Glargine
Rationale: Glargine is a long-acting synthetic (recombinant DNA origin, human-made) human insulin. It is used once a day at bedtime and works around the clock for 24 hours.
Which extra equipment will the nurse provide at the bedside of a patient who has returned to the nursing unit after a thyroidectomy three hours ago?
- A. Large bandage scissors
- B. Tracheotomy tray
- C. Ventilator
- D. Water-sealed drainage system
Correct Answer: B
Rationale: There should be a suction apparatus and tracheotomy tray available for emergency use.