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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. A client who has type 2 diabetes mellitus has a blood glucose level of 120 mg/dL: This glucose level is within normal range for many diabetes management plans.

B. A client who has diabetes insipidus has an intake of 1,500 mL and an output of 1,600 mL in 24 hr: This client may require monitoring but does not indicate an acute crisis.

C. A client who has Graves' disease has a heart rate of 100/min and reports tremors: These symptoms are concerning but do not suggest an immediate life-threatening situation.

D. A client who has a left-sided stroke reports severe headache and is manifesting confusion. These symptoms may indicate worsening conditions such as hemorrhage or increased intracranial pressure. Severe headache and confusion in a stroke patient could indicate a new complication such as hemorrhage or worsening neurological status, requiring urgent assessment and intervention.

A. "If you become pregnant, low thyroid hormone levels can affect your developing fetus." B. "Hypothyroidism can cause autoimmune disorders overtime." C. "Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase." D. "Low blood pressure is usually associated with hypothyroidism."

Correct Answer is A

Explanation

A. "If you become pregnant, low thyroid hormone levels can affect your developing fetus." Hypothyroidism during pregnancy can lead to developmental issues in the fetus. Adequate thyroid hormone levels are crucial for fetal neurodevelopment and growth.

B. "Hypothyroidism can cause autoimmune disorders over time.": Hypothyroidism itself is often caused by autoimmune disorders like Hashimoto's thyroiditis, not the other way around.

C. "Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase.": This describes hyperthyroidism, not hypothyroidism.

D. "Low blood pressure is usually associated with hypothyroidism.": Hypothyroidism can lead to increased blood pressure, not low blood pressure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has received a report on a group of clients. Which of the following client clients should the nurse assess first?

Correct Answer is D

Explanation

A nurse is educating a 28-year-old female client about the impacts of hypothyroidism on overall health. Which of the following statements would the nurse include in the teaching?

Correct Answer is A

Explanation

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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?

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