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Which problem is most likely to develop if hyperthyroidism remains untreated?
- A. Pulmonary embolism
- B. Respiratory acidosis
- C. Cerebro vascular accident
- D. Heart failure
Correct Answer: D
Rationale: Untreated hyperthyroidism causes severe tachycardia, which can lead to heart failure due to increased cardiac workload.
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The client diagnosed with hyperthyroidism is complaining of being hot and cannot sit still. Which should the nurse do based on the assessment?
- A. Continue to monitor the client.
- B. Have the UAP take the client's vital signs.
- C. Request an order for a sedative.
- D. Insist the client lie down and rest.
Correct Answer: B
Rationale: Heat intolerance and restlessness are hyperthyroidism symptoms; vital signs assess for exacerbation (e.g., thyroid storm). Monitoring, sedatives, or rest are less appropriate.
The nurse is teaching a client to self-administer insulin. The instructions should include teaching the client to:
- A. inject the needle at a 90-degree angle into the muscle.
- B. vigorously massage the area after injecting the insulin.
- C. rotate injection sites.
- D. keep the open bottle of insulin in the refrigerator.
Correct Answer: C
Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption. Insulin is injected subcutaneously, not into muscle, and massaging can alter absorption.
The client is immediate postprocedure endoscopic retrograde cholangiopancreatogram (ERCP). Which intervention should the nurse implement?
- A. Assess for rectal bleeding.
- B. Increase fluid intake.
- C. Assess gag reflex.
- D. Keep in supine position.
Correct Answer: C
Rationale: ERCP involves throat anesthesia; assessing the gag reflex ensures safe swallowing post-procedure. Rectal bleeding, fluids, and supine positioning are irrelevant.
The nurse is caring for the client who had a thyroidectomy 2 days ago. Based on the findings of the client's serum laboratory report, which medication should the nurse plan to administer first?
- A. Potassium chloride 20 mEq oral bid
- B. Calcium gluconate 4.5 mEq IV once
- C. Dolasetron 12.5 mg IV as needed
- D. Levothyroxine 50 mcg oral daily
Correct Answer: B
Rationale: The serum calcium is critically low (6 mg/dL). Calcium gluconate addresses hypocalcemia from parathyroid gland damage during thyroidectomy.
Which client statement indicates a correct understanding of corticosteroid therapy for Addison's disease?
- A. I can stop the medication if I feel better.
- B. I need to take this medication daily.
- C. I should take it only during stress.
- D. I can double the dose if I'm sick.
Correct Answer: B
Rationale: Corticosteroid therapy for Addison's disease requires daily administration to replace deficient hormones and maintain physiological balance.