Nokea
Which precaution(s) will the nurse take when caring for a patient who is being treated with radioactive iodine 131 (RAIU)?
- A. Initiate radioactive safety precautions.
- B. Avoid assigning any young woman to the patient.
- C. Wait 3 days after dose before assigning a pregnant nurse to care for this patient.
- D. Advise visitors to sit at least 10 ft away from the patient.
Correct Answer: C
Rationale: The dose is patient specific and at a very low level. No radioactive safety precautions are necessary and pregnant nurses can be assigned 3 days after the dose. RAIU is not harmful to nonpregnant women.
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The nurse would instruct a patient with hypocalcemia from hypoparathyroidism about a diet that should include which item?
- A. high phosphorus foods.
- B. canned fish with the bones.
- C. cucumbers.
- D. tofu.
- E. bananas.
- F. Tomatoes
Correct Answer: B,C,D,F
Rationale: The hypocalcemic patient should eat a high-calcium, low-phosphorus diet that includes canned fish, cucumbers, tofu, and tomatoes as an aid to the absorption of the calcium.
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 use of radioactive iodine in the treatment of hyperthyroidism is for which purpose?
- A. stimulate the thyroid gland.
- B. depress the pituitary.
- C. destroy some of the thyroid tissue.
- D. alter the stimulus from the pituitary.
Correct Answer: C
Rationale: Radioactive iodine 131 destroys some of the hyperactive thyroid gland to produce a more normally functioning gland.
The nurse discovers a patient with type I diabetes drowsy and tremulous, the skin is cool and moist, and the respirations are 32 and shallow. The nurse recognizes the patient is having which type of reaction and quickly provides which intervention?
- A. hypoglycemic reaction; give 6 oz of orange juice.
- B. hyperglycemic reaction; give ordered regular insulin.
- C. hyperglycemic hyperosmolar nonketotic reaction; squeeze glucagon gel in buccal cavity.
- D. hypoglycemic reaction; give ordered insulin.
Correct Answer: A
Rationale: Hypoglycemic reaction is due to not enough food for the insulin. Quick acting carbohydrates - such as orange juice or longer acting foods such as milk, crackers, and cheese-are beneficial.
The nurse will place the patient who has had a thyroidectomy in which position postoperatively?
- A. Prone
- B. Semi-Fowler
- C. Side-lying
- D. Supine
Correct Answer: B
Rationale: Postoperative management of this patient includes keeping the bed in a semi-Fowler's position, with pillows supporting the head and shoulders. There should be a suction apparatus and tracheotomy tray available for emergency use.