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

Constipation

Frequent mood changes

Weight gain of 4.5 kg (10 lb) in 3 weeks

Sensitivity to cold

Answer and Explanation

The Correct Answer is B

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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Correct Answer is B

Explanation

A. Having the client place their head between their knees is a measure used to alleviate symptoms associated with hyperventilation but does not directly address the underlying respiratory alkalosis.
B. Having the client breathe into a paper bag helps retain carbon dioxide, which can help reverse respiratory alkalosis by increasing PaCO2 levels and subsequently decreasing pH.
C. Administering sodium bicarbonate would worsen alkalosis by further increasing the pH and bicarbonate levels.
D. Administering insulin is not indicated for respiratory alkalosis and hyperventilation.

A. Urine output of 175 ml in the past 8 hrs B. Urine output of 2,200 ml in the past 24 hr C. Urine is cloudy after sitting in the urinal for 6 hr D. First-voided urine in the morning has a strong odor

Correct Answer is A

Explanation

A. A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
B. This amount of urine output over 24 hours is within normal range and does not typically warrant immediate notification unless there are other concerning symptoms.
C. Cloudy urine may indicate the presence of urinary tract infection or other issues, but it alone may not require immediate notification of the provider.
D. While strong-smelling urine can be indicative of various conditions, it alone may not necessitate immediate provider notification unless accompanied by other concerning symptoms.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Correct Answer is A

Explanation

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO, 48 mm Hg and the HCO, is 23 mEq/L. The nurse should recognize that these findings indicate of which of the following acid base balances?

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