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MED-SURG BSN 266The nurse is completing a health assessment of a 42-year-old female
with suspected Graves' disease. The nurse should assess this client
for:
A. Anorexia
B. Tachycardia
C. Weight Gain
D. Cold Skin
B. Tachycardia
A 34-year-old female is diagnosed with hypothyroidism. The nurse
should assess the client for which of the following? Select all that
apply.
A. Rapid pulse.
B. Decreased energy and fatigue.
C. Weight gain of 10 lb (4.5 kg).
D. Fine, thin hair with hair loss
E. Constipation.
F. Menorrhagia.
B. Decreased energy and fatigue
C. Weight gain of 10lb.
,E. Constipation
F. Menorrhagia
Propylthiouracil (PTU) is prescribed for a client with Graves' disease.
The nurse should teach the client to immediately report which of the
following?
A. Sore throat.
B. Painful, excessive menstruation.
C. Constipation.
D. Increased urine output.
A. Sore throat
A client with thyrotoxicosis (hyperthyroidism) 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 the nurse
would give the client the most accurate explanation of her behavior?
A. "Your behavior is caused by temporary confusion brought on by
your illness."
B. "Your behavior is caused by the excess thyroid hormone in your
system."
C. "Your behavior is caused by your worrying about the seriousness
of your illness."
,D. "Your behavior is caused by the stress of trying to manage a
career and cope with illness."
B. Your behavior is caused by the excess thyroid hormone in your
system.
The nurse is evaluating a client with hyperthyroidism who is taking
Propylthiouracil (PTU) 100 mg/day in three divided doses for
maintenance therapy. Which of the following statements from the
client indicates the desired outcome of the drug?
A. "I have excess energy throughout the day."
B. "I am able to sleep and rest at night."
C. "I have lost weight since taking this medication."
D. "I do perspire throughout the entire day."
B. I am able to sleep and rest at night
The nurse should teach the client with Graves' disease to prevent
corneal irritation from mild exophthalmos by:
A. Massaging the eyes at regular intervals.
B. Instilling an ophthalmic anesthetic as prescribed.
C. Wearing dark-colored glasses.
D. Covering both eyes with moistened gauze pads.
C. Wearing dark- colored glasses.
, A client with Graves' disease is treated with radioactive iodine (RAI)
in the form of sodium iodide 131I. Which of the following statements
by the nurse will explain to the client how the drug works?
A. "The RAI stabilizes the thyroid hormone levels before a
thyroidectomy."
B. "The RAI reduces uptake of thyroxine and thereby improves your
condition."
C. "The RAI lowers the levels of thyroid hormones by slowing your
body's production of them."
D. "The RAI destroys thyroid tissue so that thyroid hormones are no
longer produced."
D. The RAI lowers the levels of thyroid tissue so that thyroid
hormones are no longer produced.
After treatment with radioactive iodine (RAI) in the form of sodium
iodide 131I, the nurse teaches the client to:
A. Monitor for signs and symptoms of hyperthyroidism.
B. Rest for 1 week to prevent complications of the medication.
C. Take thyroxine replacement for the remainder of the client's life.
D. Assess for hypertension and tachycardia resulting from altered
thyroid activity.
C. Take thyroxine replacement for the remainder of the client's life.
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