A nurse is collecting data from a client who has hypothyroidism.
When reviewing the findings and the client’s medical record, which of the following interventions should the nurse suggest to the provider?

Consider thyroid ablation therapy.

Increase the dosage of levothyroxine.

Replace lovastatin with cholestyramine.

Restrict the client’s intake of iodized salt.

Answer and Explanation

The Correct Answer is B

This is because the client has hypothyroidism, which means their thyroid gland does not produce enough thyroid hormone. Levothyroxine is a synthetic form of thyroid hormone that can replace the missing hormone and normalize the TSH level. The client’s TSH level is 8.9 mIU/L, which is above the normal range of 0.4 to 4.0 mIU/L. This indicates that the client’s current dosage of levothyroxine is insufficient and needs to be increased.

Choice A is wrong because thyroid ablation therapy is a treatment for hyperthyroidism, not hypothyroidism.

Thyroid ablation therapy involves destroying part or all of the thyroid gland with radioactive iodine or surgery, which reduces the production of thyroid hormone.

This would worsen the client’s condition and symptoms.

Choice C is wrong because lovastatin is a statin drug that lowers cholesterol levels. Hypothyroidism can cause high cholesterol levels, but this is usually corrected by levothyroxine therapy. Replacing lovastatin with cholestyramine, a bile acid sequestrant that also lowers cholesterol levels, would not address the underlying cause of hypothyroidism and would not improve the client’s TSH level.

Choice D is wrong because restricting the intake of iodized salt would not help the client with hypothyroidism. Iodine is an essential element for the synthesis of thyroid hormone, but most people in developed countries get enough iodine from their diet.

Hypothyroidism is usually caused by autoimmune disease, not iodine deficiency.

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Correct Answer is B

Explanation

Moist heat can help reduce pain and stiffness in the joints by increasing blood flow and relaxing the muscles. Moist heat can be applied using warm compresses, heating pads, or warm baths.

Choice A is wrong because using a recliner when sitting for long periods can increase pressure on the knees and decrease circulation. A better option is to use a straight-backed chair with a footstool.

Choice C is wrong because sleeping on a soft mattress can cause poor alignment of the spine and joints, which can worsen pain and mobility. A firm mattress is recommended for clients with osteoarthritis.

Choice D is wrong because placing large pillows under the knees when lying in bed can limit the range of motion of the knees and cause contractures. A small pillow under the knees can provide some support and comfort, but it should not be too large or too high.

A. Suggest that the client wear facility clothing until the prosthesis fitting. B. Encourage the client to visit with someone who has had an amputation. C. Discourage the client from touching the residual limb for the first week. D. Reassure the client that the rehabilitation program is optional.

Correct Answer is B

Explanation

Encourage the client to visit with someone who has had an amputation.

This strategy can help the client cope with the loss of a body part and learn from the experience of others who have gone through a similar situation.

Choice A is wrong because suggesting that the client wear facility clothing until the prosthesis fitting can delay the client’s acceptance of the body image alteration and increase the risk of infection.

Choice C is wrong because discouraging the client from touching the residual limb for the first week can interfere with the healing process and prevent the client from becoming familiar with the new body part.

Choice D is wrong because reassuring the client that the rehabilitation program is optional can discourage the client from participating in physical therapy and hinder the recovery and adaptation.

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A nurse is collecting data from a client who has hypothyroidism. When reviewing the findings and the client’s medical record, which of the following interventions should the nurse suggest to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has osteoarthritis and reports pain and limited mobility in both knees. Which of the following recommendations should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A nurse is collecting data from a client who has hypothyroidism.
When reviewing the findings and the client’s medical record, which of the following interventions should the nurse suggest to the provider?