Nokea
Which nutritious food should the nurse reinforce instruction for a patient with hyperthyroidism (Graves disease) to select because of the increased metabolism related to the disease?
- A. Coffee with cream
- B. Lean meat
- C. White bread
- D. Leafy green vegetables
- E. Supplemental vitamin D
Correct Answer: B,D,E
Rationale: Nutritious food sources, such as food high in protein (e.g., lean meat), sources of vitamin B (e.g., leafy green vegetables), and vitamin D supplements are helpful to meet the metabolic needs of the patient with hyperthyroidism.
You may also like to solve these questions
A patient has come to the clinic because of enlarged hands and feet, amenorrhea, and increased hair growth. These symptoms most likely indicate problems with which endocrine gland?
- A. pituitary gland.
- B. adrenal glands.
- C. thyroid gland.
- D. pancreas.
Correct Answer: A
Rationale: The pituitary gland may produce an overabundance of growth hormone. This overproduction of hormones may cause changes throughout the patient's body, including enlargement of the pituitary gland and hands and feet. Female patients may develop a deepened voice, increased facial hair growth, and amenorrhea. In a fully grown adult, this condition is acromegaly.
The nurse cautions the patient who is being instructed on self-medication with insulin to be aware that there are 25-, 30-, 50-, and 100-unit syringes. How is the 100-unit syringe marked?
- A. 1-unit increments
- B. 2-unit increments
- C. 4-unit increments
- D. 5-unit increments
Correct Answer: B
Rationale: The 100-unit syringe is marked in 2-unit increments while the smaller syringes are marked in 1-unit increments.
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.
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.
In which manner will the nurse administer insulin to prevent lipohypertrophy?
- A. At room temperature
- B. At body temperature
- C. Straight from the refrigerator
- D. After rolling bottle between hands to warm
Correct Answer: A
Rationale: In fact, it is now believed that insulin should be administered at room temperature, not straight from the refrigerator, to help prevent insulin lipohypertrophy.