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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
In acute adrenal insufficiency, also known as Addison's disease, the adrenal glands are unable to produce enough cortisol and aldosterone hormones. These hormones play an important role in regulating sodium and potassium levels in the body. Therefore, a patient with acute adrenal insufficiency may have low sodium and high potassium levels in their blood.
The goal of therapy is to replace the deficient hormones and normalize the electrolyte levels in the body. If the current therapies are effective, the nurse would expect to see an increase in the patient's serum sodium levels because of aldosterone replacement therapy. Therefore, option a is the correct answer.
Decreasing serum chloride levels and decreasing blood glucose levels are not directly related to the treatment of acute adrenal insufficiency. In fact, a patient with acute adrenal insufficiency may have low serum chloride levels and low blood glucose levels due to the lack of cortisol hormone.
Increasing serum potassium levels would be an indicator of ineffective treatment or inadequate aldosterone replacement therapy, as aldosterone helps to regulate potassium levels in the body.
Correct Answer is ["A","D","E"]
Explanation
Option A indicates that the client understands the timing of glyburide administration, which is typically taken with the first bite of a meal to aid in glucose control.
Option d indicates that the client understands the importance of continuing antidiabetic medications even when they are sick. Skipping doses during illness can lead to uncontrolled blood glucose levels.
Option e indicates that the client understands the importance of foot care in preventing complications related to peripheral neuropathy, such as diabetic foot ulcers.
Option b is incorrect because patients with peripheral neuropathy should not walk barefoot, as they may not feel injuries to their feet, which can lead to diabetic foot ulcers and other complications.
Option c is incorrect because antidiabetic medications do not allow patients to eat whatever they desire. Patients with diabetes need to follow a healthy diet and exercise plan to manage their blood glucose levels effectively.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today