A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Bone pain

Slurred speech

Hypotension

Pruritus

Bradypnea.

Answer and Explanation

Correct Answer : A,B,D

A.   Bone pain can occur in ESRD due to mineral and bone disorders associated with chronic kidney disease.
B.   Slurred speech can be seen in ESRD patients with uremic encephalopathy.
C.   Hypotension is less common in ESRD; hypertension is more typical due to fluid overload and retention.
D.   Pruritus is a common symptom of ESRD, often due to accumulation of uremic toxins.
E.   Bradypnea is not typically associated with ESRD.

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Correct Answer is A

Explanation

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.

A. Free T4 B. Serum T3 C. Serum T4 D. Thyroid stimulating hormone (TSH)

Correct Answer is D

Explanation

A. In primary hypothyroidism, the thyroid gland fails to produce sufficient thyroid hormone.
Consequently, free T4 levels are typically decreased.
B. Although serum T3 levels may also decrease in primary hypothyroidism due to impaired thyroid function, TSH is the primary marker used for diagnosis and monitoring.
C. Similarly, serum T4 levels may decrease in primary hypothyroidism due to decreased synthesis by the thyroid gland.
D. In primary hypothyroidism, the anterior pituitary gland releases more TSH to stimulate the thyroid gland to produce thyroid hormones. Therefore, elevated TSH levels are characteristic of primary hypothyroidism.

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A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. Which of the following laboratory values should the nurse anticipate an elevation of?

Correct Answer is D

Explanation

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