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 A

Explanation

Coughing while eating after a stroke may be caused by dysphagia, a swallowing disorder that can lead to aspiration, pneumonia and infection. A speech-language pathologist can assess and treat dysphagia and help the client improve their swallowing function.

Choice B is wrong because fine motor tremors are not related to speech or language problems.

They may be caused by damage to the cerebellum or basal ganglia, parts of the brain that control movement and coordination.

Choice C is wrong because facial flushing is not related to speech or language problems.

It may be caused by high blood pressure, fever, anxiety or other conditions.

Choice D is wrong because urinary incontinence is not related to speech or language problems.

It may be caused by damage to the spinal cord, bladder, pelvic floor muscles or nerves that control urination.

A. Wheat. B. Strawberries. C. Peanuts. D. Bananas.

Correct Answer is D

Explanation

The nurse should instruct the client to avoid bananas because they are one of the foods that can cause a cross-reaction with latex allergy. This means that people who are allergic to latex may also have an allergic reaction to bananas because they contain similar proteins.

Choice A is wrong because wheat is not a latex cross-reactive food.

Choice B is wrong because strawberries are a low or undetermined cross- reactive food.

Choice C is wrong because peanuts are a low or undetermined cross-reactive food.

Some other foods that the nurse should instruct the client to avoid are avocado, kiwi, chestnut, papaya, and potato. These foods have a high or moderate association with latex cross-reactions. The client should also be careful with other fruits and vegetables that may contain similar proteins to latex.

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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 is recovering from a recent stroke. Which of the following findings should indicate to the nurse the need for a referral to a speech-language pathologist?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has a newly diagnosed latex allergy. Which of the following foods should the nurse instruct the client to avoid?

Correct Answer is D

Explanation

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A nurse is caring for a client who has heart failure and is taking furosemide. Which of the following statements by the client indicates a need for the nurse to intervene?

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?

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?