A nurse is developing a plan of care for a client with a new diagnosis of Graves' disease.
Which of the following interventions does the nurse include in the plan of care?

Keeping the room well-lit at all time

Encouraging frequent ambulation and exercise

Providing a high-calorie and high protein diet

Placing extra blankets over the client

Answer and Explanation

The Correct Answer is C

Choice A rationale: Clients with Graves' disease may have increased sensitivity to light due to ocular manifestations like photophobia, so keeping the room well-lit may can cause eye irritation.

Choice B rationale: Encouraging frequent ambulation and exercise may worsen the symptoms of hyperthyroidism, such as tachycardia, palpitations, and tremors.

Choice C rationale: This is because clients with Graves' disease have an increased

metabolic rate and may experience weight loss, muscle wasting, and fatigue. A high- calorie and high protein diet can help prevent these complications and provide adequate nutrition for the client.

Choice D rationale: Placing extra blankets over the client may increase the body temperature and cause heat intolerance, which is another common symptom of Graves' disease.

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Correct Answer is D

Explanation

Choice A rationale: A breast lump that increases in size before the menstrual period might be related to hormonal changes and is not necessarily indicative of a concerning issue.

Choice B rationale: Bilateral breast nodules that are tender with palpation might be related to benign conditions or hormonal changes.

Choice C rationale: A small, mobile, rubbery breast lump could suggest a benign condition like a fibroadenoma, which might not be as concerning.

Choice D rationale: A breast nodule that is 1 cm in size, nontender, and fixed could potentially raise concerns about malignancy and requires further evaluation.

A. TSH low,T3 & T4 elevated B. TSH elevated, T3 & T4 low C. TSH,T3 & T4 low D. TSH, T4 elevated and T3 low

Correct Answer is B

Explanation

Choice A rationale: Elevated T3 and T4 with low TSH levels are indicative of hyperthyroidism, not a side effect of radioactive iodine treatment.

Choice B rationale: One of the expected side effects of RAI treatment for hyperthyroidism is permanent hypothyroidism (or underactive thyroid, when the thyroid does not produce enough hormones). Elevated TSH levels with low T3 and T4 are indicative of hypothyroidism.

Choice C rationale: Low TSH, T3, and T4 levels are not typical outcomes of radioactive iodine treatment; typically, the treatment leads to a decrease in T3 and T4 with increased TSH levels.

Choice D rationale: Elevated TSH and low T3 is major side effect of radioactive iodine treatment for hyperthyroidism. However, it does not cause elevated T4 levels.

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A nurse is developing a plan of care for a client with a new diagnosis of Graves' disease. Which of the following interventions does the nurse include in the plan of care?

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Naxlex Comprehensive Predictor Exams

Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

Correct Answer is D

Explanation

Which is a major side effect of radioactive iodine treatment for hyperthyroidism?

Correct Answer is B

Explanation

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A nurse is developing a plan of care for a client with a new diagnosis of Graves' disease.
Which of the following interventions does the nurse include in the plan of care?