Nokea
Which of the following is a characteristic sign of hyperthyroidism?
- A. Cold intolerance
- B. Fatigue and lethargy
- C. Tremors and nervousness
- D. Weight gain
Correct Answer: C
Rationale: The correct answer is C: Tremors and nervousness. Hyperthyroidism is an overactive thyroid gland leading to an excess of thyroid hormones. Tremors and nervousness are classic symptoms due to the increased metabolic rate. Cold intolerance (A) is a symptom of hypothyroidism, not hyperthyroidism. Fatigue and lethargy (B) are common in hypothyroidism, not hyperthyroidism. Weight gain (D) is also more indicative of hypothyroidism. Therefore, the presence of tremors and nervousness (C) is the characteristic sign of hyperthyroidism.
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A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?
- A. Recurrent thoughts of past trauma
- B. Invents words that have no meaning
- C. Preoccupied with folding clothes
- D. Periods of elation with unusual talkativeness
Correct Answer: B
Rationale: The correct answer is B: Invents words that have no meaning. This behavior is associated with a symptom of schizophrenia called "neologisms," where individuals create new words that are not part of any known language. This is a characteristic feature of disorganized thinking in schizophrenia. Recurrent thoughts of past trauma (choice A) are more aligned with symptoms of PTSD rather than schizophrenia. Being preoccupied with folding clothes (choice C) is more indicative of obsessive-compulsive disorder. Periods of elation with unusual talkativeness (choice D) are more likely symptoms of bipolar disorder rather than schizophrenia.
A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
- A. I haven't gotten my period yet, and all my friends have theirs.
- B. There's a big pimple on my face, and I worry that everyone will notice it.
- C. My parents treat me like a baby sometimes.
- D. None of the kids at this school like me, and I don't like them either.
Correct Answer: D
Rationale: The correct answer is D because the adolescent's statement indicates feelings of social isolation and potential difficulty in forming relationships with peers. Addressing this issue is crucial to prevent further emotional distress. Choice A is common for adolescents and does not raise immediate concerns. Choice B is a common concern related to body image. Choice C may indicate normal parent-child dynamics.
The physician orders a Lidocaine drip to infuse at 2 mg/min. The drug is available as 2 gm in 500 mL of fluid. Solve for mL/hr.
Correct Answer: 3
Rationale: To solve for mL/hr, we first need to convert 2 gm to mg (2000 mg) and calculate the total volume in mL (500 mL). Then, we divide the total volume by the rate of infusion (2 mg/min) to get mL/min (250 mL/min). Finally, multiply this by 60 to get mL/hr (15000 mL/hr). Choice 3 is correct because it correctly follows these steps. Other choices are incorrect due to miscalculations or skipping a step.
A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the highest priority for the nurse?
- A. Encourage client input in the treatment plan.
- B. Communicate with the client using concrete language.
- C. Demonstrate assertive behavior.
- D. Promote appropriate behavior during group therapy sessions.
Correct Answer: B
Rationale: The correct answer is B: Communicate with the client using concrete language. When working with a client with histrionic personality disorder, using concrete language helps to set clear boundaries and prevent misinterpretations. This is crucial in maintaining a therapeutic relationship and managing their behavior effectively. Encouraging client input (choice A) is important but not the highest priority in this case. Demonstrating assertive behavior (choice C) and promoting appropriate behavior in group therapy (choice D) are important but not as immediately crucial as clear communication.
A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?
- A. You will need to use a bathroom separate from other household members.
- B. You will need to remain at the hospital for the entire time the radioiodine is radioactive.
- C. A low fiber diet will be necessary.
- D. Additional Immunizations will be needed for full protection.
Correct Answer: A
Rationale: Rationale: Choice A is correct because radioiodine is excreted through bodily fluids including urine. Using a separate bathroom prevents exposure to others. Choice B is incorrect as hospitalization isn't always required. Choice C is irrelevant to radioiodine therapy. Choice D is incorrect as immunizations are not directly related to radioiodine precautions.