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A nurse in the emergency department is caring for female client.

Exhibits
After reviewing the assessment findings, which of the following findings require follow-up?
(Select All that Apply.)

A.

Breath sounds

B.

Total T4

C.

Oxygen saturation

D.

Blood pressure

E.

Bowel pattern

F.

Potassium level

Answer and Explanation

Correct Answer : B,D

A. Breath sounds: Clear breath sounds are a normal finding and do not require follow-up.

B. Total T4: The client's Total T4 is 20 mcg/dL, which is significantly above the normal range (5 to 12 mcg/dL). This confirms the diagnosis of hyperthyroidism and is the root cause of the client's hypermetabolic symptoms.

C. Oxygen saturation: A saturation of 97% is within the normal range.

D. Blood pressure: The blood pressure of 168/70 mm Hg indicates systolic hypertension with a widened pulse pressure, which is characteristic of hyperthyroidism due to increased cardiac output. This requires follow-up to prevent cardiovascular complications like heart failure or stroke.

E. Bowel pattern: While 2-3 bowel movements per day is a symptom of increased gastric motility associated with the disease, it is not an immediate life-threatening finding compared to the T4 level and severe hypertension.

F. Potassium level: A level of 3.6 mEq/L is within the normal reference range (3.5 to 5 mEq/L).


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Related Questions

Correct Answer is B

Explanation

A. "This test measures the absorption of iodine and how it relates to the thyroid gland."TSH testing does not assess iodine absorption; it measures pituitary stimulation of the thyroid.

B. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive."TSH reflects pituitary signaling to the thyroid; elevated TSH suggests hypothyroidism, while low TSH suggests hyperthyroidism.

C. "This test detects antithyroid antibodies in your blood."Antithyroid antibodies are tested in conditions like Hashimoto’s or Graves’ disease, not TSH measurement.

D. "This test measures the amount of thyroid hormone that attaches to a protein in your blood."This describes total thyroid hormone levels, not TSH.

Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"A,B,C"}}

Explanation


Glucose level:Elevated glucose is a hallmark of Diabetes Mellitus. In Cushing syndrome, excess cortisol causes insulin resistance and hyperglycemia. In Hyperthyroidism, increased metabolism leads to rapid glucose absorption and glucose intolerance.

Weight change:The client experienced weight loss. This is consistent with Hyperthyroidism (high metabolism burns calories faster than intake) and Diabetes (breakdown of fats/proteins due to lack of insulin). Cushing syndrome is characterized by weight gain(truncal obesity/moon face).

Emotional feelings:Both Cushing syndrome (excess cortisol) and Hyperthyroidism (excess thyroid hormone) are well-known for causing severe mood lability, irritability, anxiety, and insomnia. While unstable blood sugar in diabetes can affect mood, it is not a primary psychiatric characteristic of the disease pathology in the same way.

Blood pressure:Hypertension is found in all three. Cushing's causes fluid/sodium retention. Hyperthyroidism increases cardiac workload. Diabetes causes vascular damage and renal complications leading to hypertension.

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