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

Photophobia

Exophthalmos

Lethargy

Goiter

Answer and Explanation

The Correct Answer is C

A. Photophobia is not typically associated with hypothyroidism. It can be a symptom of conditions affecting the eyes, such as certain infections or ocular disorders.

B. Exophthalmos is a protrusion of the eyeballs and is a characteristic symptom of hyperthyroidism (overactive thyroid), not hypothyroidism (underactive thyroid).

C. Correct. Lethargy is a common symptom of hypothyroidism. It is characterized by extreme tiredness, sluggishness, and lack of energy.

D. Goiter is an enlargement of the thyroid gland and can occur in both hyperthyroidism and hypothyroidism. However, it is not a direct symptom; it is a physical finding that can be associated with thyroid disorders.

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Correct Answer is A

Explanation

A. Correct. Propylthiouracil (PTU) is an antithyroid medication used to treat hyperthyroidism, including Graves' disease. It can sometimes cause agranulocytosis, a condition characterized by a severe reduction in white blood cells, which can lead to symptoms like a sore throat and fever. These symptoms should be reported immediately.

B. Constipation is not a common side effect of propylthiouracil. If it occurs, it is usually not an urgent concern, and can often be managed with dietary and lifestyle changes.

C. Increased urine output is not typically associated with propylthiouracil. It is more likely to be seen with diuretic medications or conditions like diabetes.

D. Painful, excessive menstruation is not a direct side effect of propylthiouracil. However, hormonal changes related to hyperthyroidism can affect menstrual patterns. If the client is experiencing significant changes in menstrual bleeding, it should be reported to the healthcare provider, but it may not be considered an immediate emergency.

A. A client who has a calcium of 9.3 mg/d B. Aclient who has a phosphate of 5.7 mg/cl C. A client who has a vitamin D of 25 ng/mL D. Aclient who has a magnesium of 1.8 mg/L

Correct Answer is B

Explanation

A. A client who has a calcium of 9.3 mg/dL - This calcium level is within the normal range (8.5-10.2 mg/dL) and does not indicate hypoparathyroidism.

B. A client who has a phosphate of 5.7 mg/dL - An elevated phosphate level is a manifestation of hypoparathyroidism. In hypoparathyroidism, there is a decrease in parathyroid hormone (PTH) production, which leads to decreased calcium absorption and increased phosphate levels.

C. A client who has a vitamin D of 25 ng/mL - This vitamin D level is within the normal range and does not specifically indicate hypoparathyroidism.

D. A client who has a magnesium of 1.8 mg/dL - This magnesium level is within the normal range and does not specifically indicate hypoparathyroidism.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?

Correct Answer is B

Explanation

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