A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?

Administer aspirin as prescribed for any sign of hyperthermia.

Keep the client NPO.

Observe the client carefully for signs of hypocalcemia.

Provide a quiet, low-stimulus environment.

Answer and Explanation

The Correct Answer is D

A. Administering aspirin for hyperthermia is not a standard intervention for hyperthyroidism. Hyperthermia can occur in severe cases of hyperthyroidism, but the primary intervention is to address the underlying thyroid dysfunction and provide supportive care.

B. Keeping the client NPO (nothing by mouth) is not directly related to preventing a thyroid crisis in hyperthyroidism. It may be necessary for certain pre-operative preparations or if the client is undergoing specific procedures, but it does not address the prevention of a thyroid crisis.

C. While monitoring for signs of hypocalcemia is important in some cases of thyroid dysfunction, it is not the primary action to prevent a thyroid crisis. In hyperthyroidism, the focus is on managing excessive thyroid hormone levels.

D. Correct. Providing a quiet, low-stimulus environment is a crucial nursing intervention for clients with hyperthyroidism. They can be highly sensitive to external stimuli due to their increased metabolic rate. A calm environment helps reduce stress and the risk of exacerbating symptoms, potentially preventing a thyroid crisis.

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Correct Answer is C

Explanation

A. Incorrect. Aging is associated with a decrease in insulin production and a reduction in the speed of insulin release, not an increase.

B. Incorrect. Intolerance of fatty foods is not typically an age-related endocrine change. It may be related to other factors such as digestive issues.

C. Correct. Decreased sensitivity to insulin is a common age-related endocrine change, particularly in individuals with type 2 diabetes mellitus.

D. Incorrect. Lower and prolonged blood glucose levels are not an expected age-related endocrine change. Instead, insulin resistance tends to result in elevated blood glucose levels.

A. is caused by the lack of production of insulin by the pancreas." B. This caused be the overproduction of growth hormone by the pituitary gland." C. He is caused by the lack of production of aldosterone by the adrenal gland." D. It is caused by the overproduction of parathormone by the parathyroid gland

Correct Answer is C

Explanation

A. Incorrect. This statement describes the cause of diabetes mellitus, not Addison's disease.

B. Incorrect. Overproduction of growth hormone is associated with conditions like acromegaly or gigantism, not Addison's disease.

C. Correct. Addison's disease is caused by the lack of production of aldosterone by the adrenal gland.

D. Incorrect. Overproduction of parathormone is associated with hyperparathyroidism, not Addison's disease.

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Naxlex Comprehensive Predictor Exams

The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?

Correct Answer is C

Explanation

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

When preparing to provide morning medications, the nurse would give levothyroxine (Synthroid) ordered daily in which of the following ways?

A client is being discharged after having a thyroidectomy. Which discharge instructions are appropriate for this client? Select all that apply.

When preparing to provide morning medications, the nurse would give levothyroxine (Synthroid) ordered daily in which of the following ways?

A nurse is caring for a client who has chronic hypothyroidism. For which of the following conditions should the nurse monitor?

The client with type 1 diabetes mellitus is prescribed to take NPH (Humulin N) insulin at 5 PM each day. The client should be instructed that the greatest risk of hypoglycemia will occur about what time?

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?

A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?