A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism.

Which of the following laboratory values should the nurse anticipate an elevation of?

Free T4

Serum T3

Serum T4

Thyroid stimulating hormone (TSH)

Answer and Explanation

The Correct Answer is D

A.   In primary hypothyroidism, the thyroid gland fails to produce sufficient thyroid hormone.
Consequently, free T4 levels are typically decreased.
B.   Although serum T3 levels may also decrease in primary hypothyroidism due to impaired thyroid function, TSH is the primary marker used for diagnosis and monitoring.
C.   Similarly, serum T4 levels may decrease in primary hypothyroidism due to decreased synthesis by the thyroid gland.
D.   In primary hypothyroidism, the anterior pituitary gland releases more TSH to stimulate the thyroid gland to produce thyroid hormones. Therefore, elevated TSH levels are characteristic of primary hypothyroidism.

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Correct Answer is C

Explanation

A. Dry skin is not a typical manifestation of respiratory acidosis.
B. Abdominal pain is not a typical manifestation of respiratory acidosis.
C. Lethargy and altered mental status are common manifestations of respiratory acidosis due to the effects of hypercapnia (elevated PaCO2) on the central nervous system.
D. Numbness of fingers is not a typical manifestation of respiratory acidosis.

A. Constipation B. Frequent mood changes C. Weight gain of 4.5 kg (10 lb) in 3 weeks D. Sensitivity to cold

Correct Answer is B

Explanation

A. Constipation is more commonly associated with hypothyroidism, not hyperthyroidism.
B. Hyperthyroidism can lead to emotional lability, anxiety, and irritability due to increased metabolic rate.
C. Weight loss is a common manifestation of hyperthyroidism, not weight gain.
D. Sensitivity to cold is more commonly associated with hypothyroidism, not hyperthyroidism.

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A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. Which of the following laboratory values should the nurse anticipate an elevation of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

Correct Answer is B

Explanation

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A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism.

Which of the following laboratory values should the nurse anticipate an elevation of?