A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)
Mineralocorticoids
Calcitonin
Thyroxine (T4)
Triiodothyronine (T3)
Glucocorticoids
Correct Answer : C,D
Choice A reason: Mineralocorticoids are produced by the adrenal glands and regulate sodium and potassium balance, not typically associated with the symptoms of myxedema.
Choice B reason: Calcitonin is involved in calcium metabolism and is not related to the symptoms of myxedema.
Choice C reason: Thyroxine (T4) is a thyroid hormone essential for regulating metabolism. A deficiency in T4 leads to symptoms such as fatigue, cold intolerance, and myxedema.
Choice D reason: Triiodothyronine (T3) is another thyroid hormone crucial for metabolism regulation. A lack of T3, along with T4, contributes to the symptoms of myxedema.
Choice E reason: Glucocorticoids are produced by the adrenal glands and are involved in stress response and metabolism, but are not directly related to myxedema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Teaching the client about using hats and scarves is helpful, but providing resources for wigs and head coverings offers more comprehensive support and options.
Choice B reason: Explaining that hair loss is a temporary side effect of chemotherapy is informative but does not directly address the client's distress.
Choice C reason: Providing resources for wigs and other head coverings directly addresses the client's concern about hair loss. It offers practical solutions and helps the client cope with the physical changes caused by chemotherapy.
Choice D reason: Recommending limited social interactions to avoid embarrassment is not supportive. It may increase feelings of isolation and does not address the underlying distress.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Cigarette or tobacco smoke is a major trigger for asthma attacks. Inhaling smoke irritates the airways, leading to inflammation and bronchoconstriction, making it harder for asthmatic individuals to breathe.
Choice B reason: Air pollution, including smog, industrial emissions, and vehicle exhaust, can exacerbate asthma symptoms. Pollutants in the air can trigger airway inflammation and constriction, leading to asthma attacks.
Choice C reason: Physical activity is not a common trigger for moderate persistent asthma if managed properly. Regular exercise is generally encouraged for overall health and can help improve lung function. However, clients should use their prescribed inhaler and follow their asthma action plan to manage exercise-induced asthma symptoms.
Choice D reason: Certain cough products, especially those containing ingredients like menthol or chemicals, can irritate the airways and trigger asthma symptoms. It's important for clients with asthma to avoid using over-the-counter cough products without consulting their healthcare provider.
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