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

Lethargy

Photophobia

Weight loss

Exophthalmos

Answer and Explanation

The Correct Answer is A

A.   Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B.   Photophobia is not typically associated with hypothyroidism.
C.   Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D.   Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.

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Correct Answer is B

Explanation

A) SIADH leads to water retention due to excessive secretion of antidiuretic hormone (ADH), resulting in weight gain rather than weight loss.
B) SIADH causes the kidneys to retain water, leading to decreased urine output (oliguria) and concentrated urine.
C) SIADH typically results in dilutional hyponatremia due to water retention, not hypernatremia.
D) In SIADH, the body retains water excessively, leading to decreased serum osmolality and suppression of thirst, rather than increased thirst.

A. Obtain a prescription for insulin for the client. B. Have the client breath into a paper bag. C. Place the client on continuous cardiac monitoring, D. Plan to administer sodium bicarbonate to the client.

Correct Answer is C

Explanation

A. Insulin administration is not indicated for metabolic alkalosis.
B. Breathing into a paper bag is a treatment for respiratory alkalosis, not metabolic alkalosis.
C. Metabolic alkalosis can lead to cardiac dysrhythmias due to electrolyte imbalances, particularly hypokalemia. Continuous cardiac monitoring is essential to promptly identify and manage any dysrhythmias that may occur.
D. Administering sodium bicarbonate would exacerbate metabolic alkalosis and is not indicated.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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