A client who has hypothyroidism will be undergoing surgery for a total knee replacement. When planning care for this client, the nurse understands which of the following to be true for people who have hypothyroidism?

They are more prone to hyperthermia and may require cooling measures.

Their levothyroxine should be held for 3 days prior to and after the surgery.

They are at risk of developing tachycardia and should be given propranolol.

They are more sensitive to the effects of opioids and may require lower doses.

Answer and Explanation

The Correct Answer is D

A. They are more prone to hyperthermia and may require cooling measures: Hypothyroidism typically leads to hypothermia (lower body temperature) rather than hyperthermia. Clients with hypothyroidism are more likely to experience difficulty maintaining normal body temperature.
B. Their levothyroxine should be held for 3 days prior to and after the surgery: Levothyroxine should not be held before or after surgery without specific guidance from the healthcare provider. Maintaining consistent thyroid hormone levels is crucial for clients with hypothyroidism.
C. They are at risk of developing tachycardia and should be given propranolol: Hypothyroidism is more commonly associated with bradycardia (slow heart rate) rather than tachycardia (fast heart rate). Propranolol is used to manage symptoms of hyperthyroidism, not hypothyroidism.
D. They are more sensitive to the effects of opioids and may require lower doses: Clients with hypothyroidism often have a reduced metabolic rate, which can increase their sensitivity to medications, including opioids. Therefore, they may require lower doses of opioids to avoid adverse effects.

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Correct Answer is B

Explanation

A. "You may need to repeat this therapy again in three weeks if the first dose doesn't achieve optimal results": Radioactive iodine therapy may require additional doses, but this is not determined by a set timeframe such as three weeks. The need for additional therapy is based on the individual’s response and thyroid function tests.
B. "Avoid being close to pregnant women and children for 7 days after your treatment": This is correct as radioactive iodine therapy can emit radiation, and avoiding close contact with vulnerable populations such as pregnant women and children helps minimize their exposure to radiation.
C. "You may need to begin corticosteroid replacement therapy after this treatment": This is incorrect because corticosteroid replacement is not typically required after radioactive iodine therapy for Graves' disease. The treatment primarily targets the thyroid gland.
D. "The purpose of this therapy is to increase your levels of thyroid hormone": This is incorrect. The purpose of radioactive iodine therapy is to reduce thyroid hormone production by destroying thyroid tissue, which helps to manage hyperthyroidism in Graves' disease.

A. Hyperthermia B. Hyperlipidemia C. Agitation D. Insomnia

Correct Answer is B

Explanation

A. Hyperthermia: This is not commonly associated with hypothyroidism. Hypothyroidism is more likely to lead to a decreased metabolic rate and hypothermia rather than hyperthermia.
B. Hyperlipidemia: This is a common condition associated with hypothyroidism. Hypothyroidism can lead to increased levels of cholesterol and triglycerides due to decreased metabolism.
C. Agitation: Hypothyroidism typically presents with symptoms such as fatigue and depression rather than agitation. Agitation is more commonly associated with hyperthyroidism.
D. Insomnia: Insomnia is more often associated with hyperthyroidism. Hypothyroidism usually leads to symptoms like fatigue and sleepiness rather than insomnia.

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A client who has hypothyroidism will be undergoing surgery for a total knee replacement. When planning care for this client, the nurse understands which of the following to be true for people who have hypothyroidism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who has Graves' disease and who will be returning home after receiving their first dose of radioactive iodine therapy. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A client in a primary care provider's office has a new diagnosis of hypothyroidism. The nurse understands that the client should be screened for which of the following conditions common in people who have hypothyroidism?

Correct Answer is B

Explanation

A nurse is caring for a female client who has a diagnosis of Cushing syndrome. The client is embarrassed that she is experiencing hirsutism and severe acne. The nurse understands that these manifestations are caused by which of the following?

At the beginning of the shift, a nurse receives report on the following four patients. Which patient should the nurse place priority on assessing first?

A client who has hypothyroidism will be undergoing surgery for a total knee replacement. When planning care for this client, the nurse understands which of the following to be true for people who have hypothyroidism?

A nurse is providing dietary teaching for a client who has Graves' disease. Which of the following statements made by the client indicates a need for further teaching by the nurse?

A nurse is caring for a client who has hypokalemia, hyperglycemia, and hypertension. A diagnosis of Cushing syndrome is suspected. Which of the following tests would the nurse anticipate the health care provider will order to help confirm the diagnosis of Cushing syndrome?

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)