A client who takes daily hormone replacement therapy for Addison's disease is scheduled for an outpatient surgical procedure. Which of the following instructions should the nurse include when providing discharge education to the client?

Limit your intake of high sodium foods for several days after the procedure to prevent hypernatremia.

Limit fluid intake to 1,500 mL per day for the next five days after the surgery to prevent fluid retention.

You will need to increase your dose of corticosteroids due to the stress of surgery.

Avoid taking hydrocortisone after the procedure due to the risk of surgical-site infection.

Answer and Explanation

The Correct Answer is C

A. Limit your intake of high sodium foods for several days after the procedure to prevent hypernatremia: This is not typically recommended for clients with Addison's disease. In fact, they often need more sodium.
B. Limit fluid intake to 1,500 mL per day for the next five days after the surgery to prevent fluid retention: This is not appropriate for clients with Addison's disease. They generally need to maintain adequate hydration.
C. You will need to increase your dose of corticosteroids due to the stress of surgery: Stress, including surgery, increases the body’s need for corticosteroids in clients with Addison's disease. Therefore, increasing the dose is crucial to prevent adrenal crisis.
D. Avoid taking hydrocortisone after the procedure due to the risk of surgical-site infection: Hydrocortisone should not be avoided. It is essential for managing Addison's disease and preventing an adrenal crisis, especially under stress.

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Correct Answer is D

Explanation

A. "I will include protein and carbohydrates in every meal": This is appropriate for a client with Graves' disease. A balanced diet with adequate protein and carbohydrates helps meet increased caloric needs due to hypermetabolism.
B. "I will avoid caffeinated beverages": This is a correct statement. Clients with Graves' disease should avoid caffeine as it can exacerbate symptoms like tremors and palpitations.
C. "I will eat a high-fiber diet": This is beneficial for maintaining gastrointestinal health. Hyperthyroidism can cause increased bowel movements, so a high-fiber diet helps prevent diarrhea.
D. "I will eat six full meals per day, with snacks in between": This indicates a need for further teaching. While frequent meals may be needed, "six full meals" can be excessive. Instead, a high-calorie, nutrient-dense diet with smaller, more frequent meals may be recommended to address increased metabolic demands without overloading the digestive system.

A. "You may need to repeat this therapy again in three weeks if the first dose doesn't achieve optimal results." B. "Avoid being close to pregnant women and children for 7 days after your treatment." C. "You may need to begin corticosteroid replacement therapy after this treatment." D. "The purpose of this therapy is to increase your levels of thyroid hormone."

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.

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A client who takes daily hormone replacement therapy for Addison's disease is scheduled for an outpatient surgical procedure. Which of the following instructions should the nurse include when providing discharge education to the client?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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

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A client who takes daily hormone replacement therapy for Addison's disease is scheduled for an outpatient surgical procedure. Which of the following instructions should the nurse include when providing discharge education to the client?