A nurse is collecting data from the electronic health records (EHR) of a group of clients before their prenatal visits.
Which of the following clients should the nurse identify as at risk for hypothyroidism?
The client who tested positive for a mutation of the GDF15 gene.
The client whose TSH levels are low and whose T4 levels are currently elevated.
The client who was diagnosed with Hashimoto's disease.
The client who tested positive for Helicobacter pylori infection.
The Correct Answer is C
Choice A rationale
While mutations in certain genes can increase the risk of various conditions, a positive test for a mutation of the GDF15 gene is not specifically associated with hypothyroidism.
Choice B rationale
Low TSH and elevated T4 levels typically indicate hyperthyroidism, not hypothyroidism. Hypothyroidism is characterized by high TSH and low T4 levels.
Choice C rationale
Hashimoto's disease is an autoimmune disorder that destroys thyroid tissue, leading to hypothyroidism due to reduced thyroid hormone production.
Choice D rationale
Helicobacter pylori infection is associated with gastrointestinal issues, but it is not directly linked to an increased risk of hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
0.2 mg is the appropriate transcription as it avoids trailing zeros and clearly indicates the dosage, reducing the risk of overdose.
Choice B rationale
0.20 mg is incorrect because the trailing zero could be misinterpreted as 20 mg, leading to a dangerous overdose.
Choice C rationale
2 mg is incorrect as it represents a tenfold overdose of the intended dosage, potentially resulting in serious harm.
Choice D rationale
0.02 mg is incorrect as it represents a tenfold underdose of the intended dosage, potentially resulting in insufficient therapeutic effect. .
Correct Answer is C
Explanation
Choice A rationale
While mutations in certain genes can increase the risk of various conditions, a positive test for a mutation of the GDF15 gene is not specifically associated with hypothyroidism.
Choice B rationale
Low TSH and elevated T4 levels typically indicate hyperthyroidism, not hypothyroidism. Hypothyroidism is characterized by high TSH and low T4 levels.
Choice C rationale
Hashimoto's disease is an autoimmune disorder that destroys thyroid tissue, leading to hypothyroidism due to reduced thyroid hormone production.
Choice D rationale
Helicobacter pylori infection is associated with gastrointestinal issues, but it is not directly linked to an increased risk of hypothyroidism.
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