Exam (elaborations)
Med/surg endoctrine exam
- Course
- Institution
Med/surg endoctrine exam
[Show more]
Content preview
Page 1 of 117Med/surg endoctrine exam 2024-2025
a client with hyperthyroidism is treated with radioactive iodine to ablate thyroid tissue. what
should the nurse instruct the client to do after the procedure?
remain in the house.
avoid holding an infant.
save urine in a lead-lined container.
refrain from using a bathroom used by others. - answer-avoid holding an infant.
rationale
infants are particularly sensitive to radioactivity; even the small amount emitted after
treatment may affect infants. it is not necessary to avoid leaving the house as long as close
proximity to others is avoided. saving urine in a lead-lined container is not necessary; the same
bathroom may be used by all members of the family, but the toilet should be flushed twice
after use by the client. refraining from using a bathroom used by others is not necessary.
the nurse is caring for a client who had a thyroidectomy. which symptoms will the client exhibit
if having a thyrotoxic crisis?
an increased pulse deficit
a decreased blood pressure
, Page 2 of 117
a decreased heart rate and respirations
an increased temperature and pulse rate - answer-an increased temperature and pulse rate
rationale
thyrotoxic crisis is severe hyperthyroidism; excessive amounts of thyroxine increase the
metabolic rate, thereby raising the pulse and temperature. during crisis there usually is no
increase in the difference between the apical and the peripheral pulse rates (pulse deficit). the
blood pressure will increase to meet the oxygen demand caused by the increased metabolic
rate during crisis. because of the increased metabolic rate, the pulse and respiratory rates
increase to meet the body's oxygen needs.
a female client who is scheduled for a thyroidectomy is concerned that the surgery will
interfere with her ability to become pregnant. what is the nurse's best response?
"as long as medication is continued, ovulation will occur."
"hyperthyroidism can cause abortions and fetal anomalies."
"pregnancy is not advisable for the client with a thyroidectomy."
"pregnancy affects metabolism and will require decreased thyroid hormone." - answer-"as long
as medication is continued, ovulation will occur."
rationale
medication is regulated to maintain the usual blood levels of thyroxine; therefore, ovulation is
not affected, and future pregnancy is possible. the client will no longer be hyperthyroid after
, Page 3 of 117
surgery because the overactive tissue is excised; therefore, pregnancy is not contraindicated.
pregnancy is not contraindicated after a thyroidectomy because the overactive tissue is excised.
pregnancy is not contraindicated; however, thyroid hormone therapy may have to be increased
during pregnancy.
after recording the blood pressure of a client, the primary health care provider confirms a
diagnosis of pheochromocytoma. what blood pressure may have helped confirm the diagnosis?
90/70 mmhg
80/60 mmhg
120/80 mmhg
190/90 mmhg - answer-190/90 mmhg
the nurse is assessing a client with a suspected thyroid disorder. which diagnostic studies will
be most appropriate to confirm that the thyroid disorder is autoimmune in origin? select all
that apply.
free thyroxine
thyroglobulin antibody
thyroid peroxidase antibody
thyroid-stimulating antibody
, Page 4 of 117
thyroid-stimulating hormone - answer-
a nurse teaches a client with type 2 diabetes how to provide self-care to prevent infections of
the feet. which statement made by the client shows that teaching was effective?
"i should massage my feet and legs with oil or lotion."
"i should apply heat intermittently to my feet and legs."
"i should eat foods high in protein and carbohydrate kilocalories."
"i should control my blood glucose with diet, exercise, and medication." - answer-"i should
control my blood glucose with diet, exercise, and medication."
rationale
controlling the diabetes decreases the risk of infection; this is the best prevention. oil or lotion
that is not completely absorbed may provide a warm, moist environment for bacterial growth.
coexisting neuropathy may result in injury from heat application. protein, carbohydrates, and
fats must be in an appropriate balance; high carbohydrate intake can provide too many
calories.
a client newly diagnosed with type 1 diabetes is taught to exercise on a regular basis. what is
the primary reason for instruction on exercise?
to decrease insulin sensitivity
to stimulate glucagon production
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller docciel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $25.89. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72841 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now