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

Palpitations

Diaphoresis

Exophthalmos

Weight gain

Answer and Explanation

The Correct Answer is D

A. Incorrect. Palpitations, which are rapid or irregular heartbeats, are more commonly associated with hyperthyroidism, where there is an excess of thyroid hormones.

B. Incorrect. Diaphoresis, or excessive sweating, is not typically associated with hypothyroidism.

C. Incorrect. Exophthalmos, or bulging of the eyes, is a characteristic finding in hyperthyroidism (specifically Graves' disease) and is not typically seen in hypothyroidism.

D. Correct. Weight gain is a common finding in hypothyroidism. The slowing down of metabolic processes due to insufficient thyroid hormones can lead to an increase in body weight.

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Correct Answer is A

Explanation

A. 6.3% - This HbA1c level indicates good blood glucose control. It suggests that the client has been effectively managing their blood sugar levels over the past few months.

B. 7.86 - This is an atypical way of presenting HbA1c values. Typically, it is expressed as a percentage, so this value needs to be converted to be compared accurately.

C. 10% - This HbA1c level is elevated and indicates poor blood glucose control. It suggests that the client's blood sugar levels have been consistently high over the past few months.

D. 8.56% - This HbA1c level is elevated and indicates poor blood glucose control. It suggests that the client's blood sugar levels have been consistently high over the past few months.

A. Provide 2 units insulin aspart 50 B. Provide 6 units insulin aspart 50 C. Provide 10 units insin apart SQ D. Provide 4 units insulin aspart 50

Correct Answer is B

Explanation

A. This option corresponds to the blood glucose range of 151-200. However, the patient's current blood glucose level is 264, which falls into the range of 251-300. Therefore, administering 2 units would not be appropriate in this case.

B. The patient's current blood glucose level is 264, which falls into the range of 251-300. According to the sliding scale insulin aspart orders, for this range, 6 units should be administered. This option aligns with the patient's blood glucose level and the prescribed protocol.

C. This option corresponds to the blood glucose range of 351-400. The patient's blood glucose level of 264 does not fall into this range, so administering 10 units would be excessive and potentially lead to hypoglycemia.

D. This option corresponds to the blood glucose range of 201-250. The patient's current blood glucose level is 264, which falls into the range of 251-300. Therefore, administering 4 units would not be sufficient to address the elevated blood glucose level.

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

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Naxlex Comprehensive Predictor Exams

A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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