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 A

Explanation

A. "You will need to use a bathroom separate from other household members." This prevents others from exposure to radioiodine through bodily fluids. Radioiodine is excreted primarily through urine and to a lesser extent through saliva and sweat, necessitating separate bathroom use to minimize radiation exposure to others.

B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." Most RAI treatments for hyperthyroidism are done on an outpatient basis.

C. "A low fiber diet will be necessary." Unrelated to radioiodine treatment. There is no specific dietary restriction related to fiber for RAI treatment.

D. "Additional Immunizations will be needed for full protection." Not relevant to radioiodine treatment. Radioiodine treatment does not require additional immunizations.

A. The child was not promoted to the next grade. B. The child moved to three new homes over a two-year period. C. The child's best friend was absent from the child's birthday party. D. The child has been raised by a parent who has recurrent major depressive disorder.

Correct Answer is D

Explanation

A. The child was not promoted to the next grade: Academic performance alone does not directly correlate with conduct disorder.

B. The child moved to three new homes over a two-year period: Transience can contribute to instability but is not a direct risk factor for conduct disorder.

C. The child's best friend was absent from the child's birthday party: Social relationships are important, but absence from a birthday party is not a significant risk factor for conduct disorder.

D. The child has been raised by a parent who has recurring major depressive disorder. Exposure to parental mental illness, such as major depressive disorder, can create stressful family environments that contribute to the development of conduct disorder.

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?

Correct Answer is A

Explanation

A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?

Correct Answer is D

Explanation

A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?

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?

Which of the following factors may contribute to an increased risk of suicide?

Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)

Which of the following is a warning sign that someone may be at immediate risk for attempting suicide?

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 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?