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NR 511 WEEK 6 QUIZ Differential Diagnosis and Primary Care Practicum Verified 100% A+ $13.99
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NR 511 WEEK 6 QUIZ Differential Diagnosis and Primary Care Practicum Verified 100% A+
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Question 1 1 / 1 pts A client with hyperthyroidism presents with a complaint of a “gritty” feeling in her eyes. Over the past week, her visual acuity has diminished, and her ability to see colors has changed. She also has a feeling of pressure behind her eyes. The next step for the nurse practi...

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  • July 21, 2022
  • 14
  • 2021/2022
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  • nr 511 week 6
  • nr 511 week 6 quiz differential diagnosis and primary care practicum verified 100 a
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NR 511 WEEK 6 QUIZ Differential Diagnosis and Primary Care Practicum
Verified 100% A+
NR 511

Quiz 6


Question 1
pts
A client with hyperthyroidism presents with a complaint of a “gritty” feeling in her eyes.
Over the past
week, her visual acuity has diminished, and her ability to see colors has changed. She
also has a feeling of pressure behind her eyes. The next step for the nurse practitioner is
to:


Order a total thyroxine (T4).




Refer the client for immediate evaluation by an ophthalmologist.



Order a thyroid ultrasound.



Prescribe a beta-adrenergic blocker.

The practitioner should refer the client for an immediate evaluation by an
ophthalmologist. Clinically recognized Graves ophthalmopathy occurs in about 50% of
cases of Graves disease. A client with Graves orbitopathy with these complaints is at risk
of blindness if there is compression of the optic nerve. Additional symptoms include
photophobia and diplopia. Autoantibodies present in Graves disease can cause increased
muscle thickness in the eye, leading to edema and compression of the optic nerve. Fundal
exam may reveal disk swelling. This is an emergency situation that may require
hospitalization and treatment with prednisone to diminish the inflammation. Artificial
tears are also helpful. In 75% of clients, the onset of Graves orbitopathy occurs within a
year before or after the diagnosis of thyrotoxicosis but can sometimes precede or follow
thyrotoxicosis by several years.


Question 2
pts
A low thyroid-stimulating hormone (TSH) can lead to:


Brittle hair.
This study source was downloaded by 100000832361371 from CourseHero.com on 07-21-2022 03:17:13 GMT -05:00


https://www.coursehero.com/file/63619833/Quiz-6docx/

, Osteoporosis.




This study source was downloaded by 100000832361371 from CourseHero.com on 07-21-2022 03:17:13 GMT -05:00


https://www.coursehero.com/file/63619833/Quiz-6docx/

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