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NIGHTINGALE BSN 246 EXAMS A & B LATEST (2 VERSIONS) BSN 246 EXAMS EACH WITH 100 QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALES ALREADY GRADED A+ (NEW)$29.99
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NIGHTINGALE BSN 246 EXAMS A & B LATEST (2 VERSIONS) BSN 246 EXAMS EACH WITH 100 QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALES ALREADY GRADED A+ (NEW)
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Course
NIGHTINGALE BSN 246
Institution
NIGHTINGALE BSN 246
NIGHTINGALE BSN 246 EXAMS A & B LATEST (2 VERSIONS) BSN 246 EXAMS EACH WITH 100 QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALES ALREADY GRADED A+ (NEW)
NIGHTINGALE BSN 246 EXAMS A & B
LATEST 2024-2025 (2 VERSIONS) BSN 246
EXAMS EACH WITH 100 QUESTIONS AND
100% CORRECT ANSWERS WITH
RATIONALES ALREADY GRADED A+ (NEW)
BSN 246 EXAM FORM A
1. 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?
1. "The RAI stabilizes the thyroid hormone levels before a thyroidectomy."
2. "The RAI reduces uptake of thyroxine and thereby improves your condition."
3. "The RAI lowers the levels of thyroid hormones by slowing your body's
production of them."
4. "The RAI destroys thyroid tissue so that thyroid hormones are no longer
produced." - ANSWER-4. Sodium iodide 131I destroys the thyroid follicular cells,
and thyroid hormones
are no longer produced. RAI is commonly recommended for clients with Graves'
disease, especially the elderly. The treatment results in a "medical thyroidectomy."
RAI
is given in lieu of surgery, not before surgery. RAI does not reduce uptake of
thyroxine.
The outcome of giving RAI is the destruction of the thyroid follicular cells. It is
possible to slow the production of thyroid hormones with RAI.
CN: Pharmacological and parenteral therapies; CL: Synthesize
pg. 1
,2. 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. - ANSWER-3. 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
3. 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 lb (4.5 kg).
4. Fine, thin hair with hair loss.
5. Constipation.
pg. 2
,6. Menorrhagia. - ANSWER-2, 3, 5, 6. 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
4. 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.
3. Constipation.
4. Increased urine output. - ANSWER-1. 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
5. A client with thyrotoxicosis says to the nurse, "I am so irritable. I am having
pg. 3
, 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?
1. "Your behavior is caused by temporary confusion brought on by your illness."
2. "Your behavior is caused by the excess thyroid hormone in your system."
3. "Your behavior is caused by your worrying about the seriousness of your
illness."
4. "Your behavior is caused by the stress of trying to manage a career and cope
with illness." - ANSWER-2. A typical sign of thyrotoxicosis is irritability caused
by the high levels of
circulating thyroid hormones in the body. This symptom decreases as the client
responds
to therapy. Thyrotoxicosis does not cause confusion. The client may be worried
about
her illness, and stress may influence her mood; however, irritability is a common
symptom of thyrotoxicosis and the client should be informed of that fact rather
than
blamed.
CN: Psychosocial integrity; CL: Synthesize
6. 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?
1. "I have excess energy throughout the day."
pg. 4
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