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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. "I feel angry when you leave me." Asserts feelings without blaming or threatening.
B. "I wish you would not make me angry." Implies blame and places responsibility on the other person.
C. "It makes me angry when you interrupt me." Asserts feelings without blaming.
D. "You'd better listen to me." Implies a threat and demands compliance. Aggressive communication involves imposing demands or threats on others.
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