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. Confusion: Not typically associated with iron deficiency anemia.

B. Fatigue. Fatigue is a hallmark symptom due to decreased oxygen-carrying capacity of the blood. Iron is essential for hemoglobin, and without sufficient iron, oxygen delivery to tissues is impaired, leading to fatigue.

C. Pain: Pain is not a typical symptom of iron deficiency anemia.

D. Slurred speech: Neurological symptoms like slurred speech are not typically seen in iron deficiency anemia unless severe.

A. Hypnosis B. Cognitive-behavioral therapy (CBT) C. Medication D. Physical restraint

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.

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Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

What treatment is commonly used for aggressive behavior disorder?

Correct Answer is B

Explanation

A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system, the client responds. "My mom died last year. and I have been in foster care ever since. I don't have many friends." Which of the following actions should the nurse take?

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?

A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

A nurse is assessing a school-age child who recently loaded a virus onto their teacher's computer after receiving a poor grade on a science project. The child's guardian tells the nurse their child often bullies the other kids at school. Which of the following diagnoses should the nurse expect?

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Administer a continuous Dopamine infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 ml of fluid. The client's weight is 110 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include unit of measure with each answer)

A nurse has attended an in-service regarding the care of adolescent clients who have behavioral disruptive disorders. Which statement by the nurse indicates an understanding of these disorders?

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?