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","C","D","E"]

Explanation

A. Client eats red meat daily: Red meat is a good source of iron. Daily consumption of red meat, if tolerated, would be less likely to be a risk factor.

B. Client has had gastric bypass surgery: Gastric bypass surgery can limit iron absorption from food.

C. Client has had treatment for gastrointestinal cancer: Treatments like surgery or radiation can damage the intestines, affecting iron absorption.

D. Client eats mostly prepackaged, processed foods: Processed foods are often low in iron content.

E. Client has ulcerative colitis: Chronic inflammatory bowel conditions like ulcerative colitis can lead to blood loss and iron deficiency. Can lead to malabsorption of nutrients, including iron.

A. "Take this medication before a meal or several hours after a meal." B. "Take this medication during your morning meal." C. "Take this medication with a full glass of water or fruit juice." D. "Take this medication with high-protein foods."

Correct Answer is A

Explanation

A. "Take this medication before a meal or several hours after a meal." Levothyroxine absorption can be affected by food, so it's generally recommended to take it on an empty stomach to ensure consistent absorption. Food, particularly high-fiber or calcium-rich foods, can interfere with levothyroxine absorption, hence taking it before meals or a few hours after meals helps optimize its effectiveness.

B. "Take this medication during your morning meal.": This may not ensure consistent absorption as food can still interfere with medication absorption.

C. "Take this medication with a full glass of water or fruit juice.": While water is recommended for swallowing pills, it doesn't address timing or food interactions.

D. "Take this medication with high-protein foods.": Protein content in food does not affect levothyroxine absorption directly.

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Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia? (Select All that Apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

Correct Answer is A

Explanation

Susan, the nurse is caring for a client who states "I plan to commit suicide." Which of the following assessments should the nurse identify as the priority?

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