A 40-year-old female client has a family history of "thyroid problems" and is being seen by the primary healthcare provider for unintentional weight loss, irritability, and chest discomfort. Her probable diagnosis is hyperthyroidism, which the primary healthcare provider plans to confirm by laboratory testing.

What additional physical assessment findings would the nurse expect to be present in this client?

Select all that apply.

Diaphoresis

Insomnia

Hypotension

Decreased deep tendon reﬂexes.

Constipation

Answer and Explanation

Correct Answer : A,B,E

Answer c is incorrect because hyperthyroidism typically causes hypertension, not hypotension. Answer d is also incorrect because hyperthyroidism typically causes increased, not decreased, deep tendon reﬂexes. Answer f is incorrect because hyperthyroidism typically causes diarrhea, not constipation.

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Correct Answer is D

Explanation

Diabetes insipidus is a condition in which the body is unable to properly regulate ﬂuid balance, leading to excessive urination (polyuria) and thirst. Therefore, the nurse should anticipate the clinical manifestation of polyuria in a patient admitted to the hospital with diabetes insipidus. The patient may excrete large amounts of dilute urine, which can lead to dehydration if adequate ﬂuid replacement is not provided. The other options listed (ﬂuid volume overload, decreased gas exchange, and generalized edema) are not typically associated with diabetes insipidus, as this condition is characterized by a deficiency of antidiuretic hormone (ADH) rather than an excess of ﬂuid.

A. Glyburide decreases glucagon secretion from the pancreas. B. Glyburide should be taken even if the morning blood glucose level is low. C. Glyburide should not be used for 48 hours after receiving IV contrast media. D. Glyburide stimulates insulin production and release from the pancreas.

Correct Answer is D

Explanation

Therefore, the correct option is d. Glyburide is a sulfonylurea medication used to treat type 2 diabetes. It works by stimulating the beta cells in the pancreas to produce and release more insulin, which helps to lower blood glucose levels.

Option A is incorrect because glyburide does not aﬀect glucagon secretion from the pancreas. Glucagon is a hormone that raises blood glucose levels by promoting the breakdown of glycogen in the liver.

Option b is incorrect because glyburide should not be taken if the morning blood glucose level is less than 70 mg/dL, as this may increase the risk of hypoglycemia.

Option c is incorrect because glyburide does not interact with IV contrast media. However, some types of IV contrast media can cause kidney damage in patients with diabetes, and the use of glyburide should be temporarily discontinued if a patient is undergoing a procedure that involves the use of contrast media.

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Naxlex Comprehensive Predictor Exams

Which clinical manifestation should the nurse anticipate for a patient admited to the hospital with diabetes insipidus?

Correct Answer is D

Explanation

Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide?

Correct Answer is D

Explanation

Which finding indicates to the nurse that the current therapies are eﬀective for patient with acute adrenal insufficiency (Addison's)?

Desmopressin acetate (DDAVP) is prescribed to a patient for the treatment of diabetes insipidus. The nurse administering the medication monitors the patient for which therapeutic response?

The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes home management of the disease. Which action should the nurse take first?

A patient is being admited with a diagnosis of Cushing syndrome. Which findings will the nurse expect during the assessment?

Which information will the nurse include when teaching the patient with a urinary tract infection (UTI) about the use of phenazopyridine?

An insulin syringe is measured in which of the following?

A 40-year-old woman had a total thyroidectomy for hyperthyroidism after medical management was not successful. The nurse is preparing to teach the client about her thyroid hormone replacement (levothyroxine). Which health teaching will the nurse include about this drug? Select all that apply.

A 46-year-old female patient presents to the emergency department with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 83/44 mm Hg. pulse oximetry 98%. and T 98.8 F oral. Which nursing intervention is the highest priority for this patient?