A nurse in a provider's office is collecting data from a client who has hypothyroidism.
Which of the following should the nurse expect?
Bradycardia.
Moist skin.
Blurred vision.
Insomnia.
The Correct Answer is A
Hypothyroidism can cause a slowed heart rate, also called bradycardia1.
Choice B, Moist skin, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Choice C, Blurred vision, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Choice D, Insomnia, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
NPH insulin has an onset of action of about 1 to 2 hours, peaks in 4 to 12 hours, and lasts up to 24 hours. Given the administration at 0700, the onset of action would typically occur between 0800 and 0900. Hypoglycemia is most likely to occur during the onset or peak periods due to the insulin's glucose-lowering effect.
Among the options:
- A. 0715: Too early, as NPH insulin's onset is not within 15 minutes.
- B. 0800: Within the onset window (1 hour after administration), making it a plausible time to observe for hypoglycemia.
- C. 0900: Also within the onset window (2 hours after administration), another reasonable time to monitor.
- D. 1000: Slightly beyond the typical onset but still early in the action profile, where hypoglycemia could occur if glucose levels drop.
Since the question asks for the time to observe for hypoglycemia caused by the onset, the earliest time within the onset window is most appropriate. Thus, B. 0800 is the best answer, as it aligns with the start of NPH insulin’s onset period.
Final Answer: B. 0800
Correct Answer is C
Explanation
The nurse should set the flow rate to deliver 40 gtts/min.
This can be calculated by multiplying the infusion rate (120 mL/hr) by the drop factor (60 gtt/mL) and then dividing by the number of minutes in an hour (60 min/hr): (120 mL/hr) * (60 gtt/mL) / (60 min/hr) = 120 gtt/min
Choice A is not the best answer because setting the flow rate to deliver 20 gtts/min would not provide the desired infusion rate of 120 mL/hr.
Choice B is not the best answer because setting the flow rate to deliver 30 gtts/min would not provide the desired infusion rate of 120 mL/hr.
Choice D is not the best answer because setting the flow rate to deliver 50 gtts/min would provide a higher infusion rate than desired.
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