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. Administering corticosteroids is crucial during an Addisonian crisis but typically involves intravenous corticosteroids (not oral) during the crisis to quickly restore hormone levels. Oral corticosteroids are part of regular maintenance therapy but not an immediate intervention in the crisis.

B. Weighing the client daily is important to monitor for potential fluid loss, dehydration, or weight changes related to Addison's disease and Addisonian crisis. Clients with Addison’s disease may experience fluid and electrolyte imbalances, so daily weight tracking helps detect early signs of fluid shifts, which are critical in crisis prevention and management.

C. A low-carbohydrate diet is not recommended for clients with Addison’s disease, as they may need a balanced diet with sufficient carbohydrates to prevent hypoglycemia.

D. Fluid intake should not be restricted; rather, maintaining adequate hydration is vital. Clients in Addisonian crisis are often at risk for dehydration due to fluid losses and low aldosterone levels, making fluid replacement essential.

A. Ondansetron B. Diphenhydramine C. Vancomycin D. Omeprazole

Correct Answer is C

Explanation

A. Ondansetron is an antiemetic commonly used to prevent nausea and vomiting, and it is not typically associated with nephrotoxicity.
B. Diphenhydramine is an antihistamine used for allergy symptoms and as a sleep aid. It is not known to cause nephrotoxicity.
C. Vancomycin is an antibiotic that can cause nephrotoxicity, especially when administered in high doses or in individuals with impaired renal function. Monitoring renal function is crucial when using vancomycin.
D. Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion and treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. It is not associated with nephrotoxicity.

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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 Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Correct Answer is C

Explanation

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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?

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