Med-Surg II HESI Exam; Questions with Complete Solutions (Latest Update)
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Course
Med Surg Hesi
Institution
Med Surg Hesi
Med-Surg II HESI Exam; Questions with
Complete Solutions (Latest Update)
The nurse is completing a health 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
Med-Surg II HESI Exam; Questions with
Complete Solutions (Latest Update)
The nurse is completing a health 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
, Med-Surg II HESI Exam; Questions with
Complete Solutions (Latest Update)
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?
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
, Med-Surg II HESI Exam; Questions with
Complete Solutions (Latest Update)
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.)
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
, Med-Surg II HESI Exam; Questions with
Complete Solutions (Latest Update)
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
2. painful, excessive menstruation
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