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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Systemic lupus erythematosus (SLE): SLE is an autoimmune disease but is not directly linked to the pathophysiology of HIT.
B. Placental abruption: Placental abruption is a complication of pregnancy and is not a risk factor for HIT.
C. Heparin therapy for deep-vein thrombosis (DVT): Correct Answer. Heparin therapy itself, especially in the treatment of deep-vein thrombosis, is a significant risk factor for developing HIT due to the exposure to heparin.
D. Warfarin therapy for atrial fibrillation: Warfarin is not associated with the development of HIT.
Correct Answer is D
Explanation
A. Withdrawing socially from family and friends: While social withdrawal can be a sign of depression and potential suicidal thoughts, it doesn't necessarily indicate immediate risk.
B. Complaining about feeling great guilt or shame: Reflects emotional distress but not an immediate risk indicator.
C. Engaging in risky behavior, such as fast driving: Risky behavior can be a sign of self-destructive tendencies, but it doesn't always indicate a suicide attempt.
D. Feeling physical and emotional pain that is unbearable: Feeling unbearable physical and emotional pain is a powerful indicator of desperation and can lead someone to consider suicide as an escape. This intense level of distress suggests a higher risk of immediate action.
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