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Med-Surg II HESI Exam; Questions & Answers 2024/25 Update 100% Solved $16.99   Add to cart

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Med-Surg II HESI Exam; Questions & Answers 2024/25 Update 100% Solved

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Med-Surg II HESI Exam; Questions & Answers 2024/25 Update 100% Solved assessment of a 42-year-old female with suspected Graves' Disease. The nurse should assess this client for: 1. anorexia 2. tachycardia 3. weight gain 4. cold skin 2. tachycardia Graves' disease, the most common type of t...

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  • August 25, 2024
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Med-Surg II HESI Exam; Questions & Answers
2024/25 Update 100% Solved
assessment of a 42-year-old female with suspected Graves'

Disease. The nurse should assess this client for:

1. anorexia

2. tachycardia

3. weight gain

4. cold skin ✔✔2. tachycardia

Graves' disease, the most common type of thyrotoxicosis, is a state of
hypermetabolism. The

increased metabolic rate generates heat and produces tachycardia and fine
muscle tremors.

Anorexia is associated with hypothyroidism. Loss of weight, despite a good
appetite and

adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is
associated with

hypothyroidism.

CN: Physiological adaptation; CL: Analyze

When conducting a health history with a female client with thyrotoxicosis, the
nurse should ask

about which of the following changes in the menstrual cycle?

, Med-Surg II HESI Exam; Questions & Answers
2024/25 Update 100% Solved
1. dysmenorrhea

2. metrorrhagia

3. oligomenorrhea

4. menorrhagia ✔✔3. oligomenorrhea

A change in the menstrual interval, diminished menstrual flow
(oligomenorrhea), or even the

absence of menstruation (amenorrhea) may result from the hormonal
imbalances of

thyrotoxicosis. Oligomenorrhea in women and decreased libido and impotence
in men are

common features of thyrotoxicosis. Dysmenorrhea is painful menstruation.
Metrorrhagia, blood

loss between menstrual periods, is a symptom of hypothyroidism. Menorrhagia,
excessive

bleeding during menstrual periods, is a symptom of hypothyroidism.

CN: Physiological adaptation; CL: Analyze

A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess
the client for

which of the following? (Select all that apply.)

, Med-Surg II HESI Exam; Questions & Answers
2024/25 Update 100% Solved
1. rapid pulse

2. decreased energy and fatigue

3. weight gain of 10 lbs (4.5 kg)

4. fine, thin hair with hair loss

5. constipation

6. menorrhagia. ✔✔2. decreased energy and fatigue, 3. weight gain of 10 lbs
(4.5 kg), 5.

constipation, 6. menorrhagia

Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid
hormone.

Bradycardia, decreased energy and lethargy, memory problems, weight gain,
coarse hair,

constipation, and menorrhagia are common signs and

symptoms of hypothyroidism.

CN: Physiological adaptation; CL: Analyze

Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse
should teach the

client to immediately report which of the following?

1. sore throat

, Med-Surg II HESI Exam; Questions & Answers
2024/25 Update 100% Solved
2. painful, excessive menstruation

3. constipation

4. increased urine output ✔✔1. sore throat

The most serious adverse effects of PTU are leukopenia and agranulocytosis,
which usually

occur within the first 3 months of treatment. The client should be taught to
promptly report to the

health care provider signs and symptoms of infection, such as a sore throat and
fever. Clients

having a sore throat and fever should have an immediate white blood cell count
and differential

performed, and the drug must be withheld until

the results are obtained. Painful menstruation, constipation, and increased urine
output are not

associated with PTU therapy.

CN: Pharmacological and parenteral therapies; CL: Synthesize

A client with thyrotoxicosis says to the nurse, "I am so irritable. I am having

problems at work because I lose my temper very easily." Which of the following
responses by

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