Nokea
Which is the best explanation by the nurse concerning an effect of hyperparathyroidism?
- A. The inability to maintain balance
- B. The risk of developing seizures
- C. Fainting when changing positions
- D. Pathologic bone fractures
Correct Answer: D
Rationale: Hyperparathyroidism weakens bones due to calcium loss, increasing the risk of pathologic fractures.
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A clinic nurse is teaching the client newly diagnosed with hypothyroidism. Which instructions should the nurse provide about taking levothyroxine sodium? Select all that apply.
- A. Take the medication 1 hour before or 2 hours after breakfast.
- B. Call the clinic if the pulse before taking the medication is greater than 100 beats per minute.
- C. Report adverse drug effects, including weight gain, cold intolerance, and alopecia.
- D. Take this drug as prescribed; it replaces thyroid hormone thatå‚¾å‘ diminished or absent.
- E. Have frequent laboratory monitoring to be sure your levels of T3 and T4 decrease.
Correct Answer: A,B,D
Rationale: Taking levothyroxine on an empty stomach ensures absorption, notifying the clinic for tachycardia prevents overdose, and taking it as prescribed replaces deficient hormone.
What is the nursing priority when administering care to a client with severe hyperthyroidism?
- A. Assess for recent emotional trauma.
- B. Provide a calm, nonstimulating environment.
- C. Provide diversionary activity.
- D. Encourage range-of-motion exercises.
Correct Answer: B
Rationale: A calm, nonstimulating environment reduces hyperactivity and stress in hyperthyroidism, which exacerbates symptoms.
Which techniques are correct when using an electronic and the patient's capillary blood glucose level? Select all that apply.
- A. Clean the client's finger with povidone-iodine (Betadine).
- B. Take a set of vital signs before the test.
- C. Pierce the central pad of the client's finger.
- D. Apply a large drop of blood to a test strip or area.
- E. Don gloves before piercing the client's finger.
- F. Perform a quality control before the test.
Correct Answer: C,E,F
Rationale: Correct techniques include piercing the finger pad, wearing gloves, and performing quality control for accurate glucometer readings.
Which laboratory finding is most indicative of Addison's disease in this client?
- A. Elevated cortisol levels
- B. Decreased serum sodium
- C. Increased blood glucose
- D. Elevated potassium levels
Correct Answer: B,D
Rationale: Addison's disease causes decreased aldosterone, leading to low serum sodium and high potassium levels due to impaired electrolyte regulation.
The nurse is planning the care of a client diagnosed with Addison's disease. Which intervention should be included?
- A. Administer steroid medications.
- B. Place the client on fluid restriction.
- C. Provide frequent stimulation.
- D. Consult physical therapy for gait training.
Correct Answer: A
Rationale: Steroid replacement (e.g., hydrocortisone) is essential for Addison’s to replace deficient cortisol/aldosterone. Fluid restriction, stimulation, and gait training are inappropriate.