A nurse is caring for a client who reports increased anxiety and nervousness, heat intolerance, and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH), elevated thyroxine (T4), and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?

Hypotension

Tachycardia

Slow respiratory rate

Decreased body temperature

Answer and Explanation

The Correct Answer is B

A. Hypotension: Hyperthyroidism typically causes increased cardiac output and can lead to normal or elevated blood pressure, not hypotension.

B. Tachycardia. Elevated thyroid hormones increase metabolic rate and sympathetic nervous system activity, leading to tachycardia.

C. Slow respiratory rate: There is no direct effect of hyperthyroidism on respiratory rate.

D. Decreased body temperature: Hyperthyroidism is associated with increased metabolism, which can lead to heat intolerance and increased body temperature, not decreased.

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Correct Answer is B

Explanation

A. Hypnosis: Not typically used for aggressive behavior disorders.

B. Cognitive-behavioral therapy (CBT). CBT is effective in modifying behavioral responses and addressing aggression through structured therapy sessions. CBT helps individuals recognize triggers for aggressive behavior and develop coping strategies.

C. Medication: Sometimes used adjunctively but not typically first-line for behavioral therapy.

D. Physical restraint: Used in emergencies but not a treatment for the disorder itself.

A. Stable employment B. Positive coping skills C. History of trauma D. Strong social support system

Correct Answer is C

Explanation

A. Stable employment: Provides stability but does not necessarily prevent crisis during personal or environmental upheaval.

B. Positive coping skills: Mitigates crisis risk but does not eliminate it entirely.

C. History of trauma. Past traumatic experiences can predispose individuals to crisis during similar stressful situations. Previous trauma can lead to heightened stress responses and difficulty coping with subsequent stressors.

D. Strong social support system: Helps buffer stress but does not prevent crisis in all situations.

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Naxlex Comprehensive Predictor Exams

What treatment is commonly used for aggressive behavior disorder?

Correct Answer is B

Explanation

Which of the following factors increases a client's risk of experiencing a crisis?

Correct Answer is C

Explanation

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia?

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A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?