A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?
"Exposure to sunlight will help to strengthen your eyes."
"These are unusual symptoms. I will ask the provider for an ophthalmology referral."
"Eye drops and dim lighting can improve your symptoms."
"Surgery will be necessary to correct the damage to your eyes."
The Correct Answer is C
A. "Exposure to sunlight will help to strengthen your eyes.": Sunlight exposure is not recommended as it can exacerbate symptoms.
B. "These are unusual symptoms. I will ask the provider for an ophthalmology referral.": These symptoms are characteristic of Graves' ophthalmopathy and do not require an immediate referral unless severe.
C. "Eye drops and dim lighting can improve your symptoms." These interventions can help alleviate discomfort associated with dryness and light sensitivity in hyperthyroidism-related eye changes (Graves' ophthalmopathy). Dim lighting reduces glare, which can be uncomfortable for clients with sensitivity to light. Eye drops can provide lubrication for dry eyes.
D. "Surgery will be necessary to correct the damage to your eyes.": Surgery is considered for severe cases or when other treatments fail, not typically as an initial intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Engaging in regular physical exercise: Physical exercise is generally associated with positive mental health benefits and is not a risk factor for suicide.
B. Having a positive self-esteem: Higher self-esteem is protective against suicide rather than a risk factor.
C. Having a strong social support system: Social support is protective against suicide, reducing isolation and providing emotional resources.
D. Experiencing a history of trauma or abuse. Correct Answer. Trauma or abuse history is a well-established risk factor for suicide, contributing to psychological distress, hopelessness, and increased vulnerability.
Correct Answer is ["3"]
Explanation
Lidocaine infusion calculation:
- Lidocaine dose ordered: 2 mg/min
- Lidocaine concentration: 2 gm in 500 mL
- Conversion factor: 1 mg = 1000 mcg
Calculations:
- Convert Lidocaine dose to mcg/min: 2 mg/min × 1000 mcg/mg = 2000 mcg/min
- Lidocaine concentration is 2 gm in 500 mL, which equals 4000 mcg/mL.
- Calculate mL/hr:
- mL/hr = (2000 mcg/min × 60 min/hr) / 4000 mcg/mL = 3 mL/hr
Answer:
- mL/hr: 3 mL/hr
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