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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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

One mg is equal to 1000 mcg, so 0.3 mg is equal to 300 mcg.

Then, the nurse has to divide the ordered dose by the available dose.

300 mcg divided by 150 mcg is equal to 2.

Therefore, the nurse has to give 2 tablets of Synthroid 150 mcg p.o. daily.

A. Semi-Fowler's with neck extended B. semi-fowler's with neck in a neutral position C. High Fowler's with neck extended D. High Fowler's withzed in a neutral position

Correct Answer is B

Explanation

A. Semi-Fowler's with neck extended: Keeping the neck extended can put strain on the surgical incision site, increasing the risk of complications. It's important to avoid excessive neck movement.

B. Semi-Fowler's with neck in a neutral position: This position is optimal for clients post-thyroidectomy. It helps reduce swelling and pressure on the surgical site while maintaining the neck in a neutral and supported position.

C. High Fowler's with neck extended: A high Fowler's position with the neck extended may increase the risk of strain on the surgical incision and should be avoided.

D. High Fowler's with the neck in a neutral position: While a high Fowler's position can be comfortable for the client, it's important to ensure that the neck is in a neutral position to minimize strain on the surgical incision.

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Naxlex Comprehensive Predictor Exams

Synthroid 0.3 mg p.o. daily is ordered. You have Synthroid in 150 mcg tablets. Give tablets.

Correct Answer is ["2"]

Explanation

A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?

Correct Answer is B

Explanation

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

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

A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?

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

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

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?