A nurse is educating a 28-year-old female client about the impacts of hypothyroidism on overall health. Which of the following statements would the nurse include in the teaching?
"If you become pregnant, low thyroid hormone levels can affect your developing fetus."
"Hypothyroidism can cause autoimmune disorders overtime."
"Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase."
"Low blood pressure is usually associated with hypothyroidism."
The Correct Answer is A
A. "If you become pregnant, low thyroid hormone levels can affect your developing fetus." Hypothyroidism during pregnancy can lead to developmental issues in the fetus. Adequate thyroid hormone levels are crucial for fetal neurodevelopment and growth.
B. "Hypothyroidism can cause autoimmune disorders over time.": Hypothyroidism itself is often caused by autoimmune disorders like Hashimoto's thyroiditis, not the other way around.
C. "Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase.": This describes hyperthyroidism, not hypothyroidism.
D. "Low blood pressure is usually associated with hypothyroidism.": Hypothyroidism can lead to increased blood pressure, not low blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A client who has type 2 diabetes mellitus has a blood glucose level of 120 mg/dL: This glucose level is within normal range for many diabetes management plans.
B. A client who has diabetes insipidus has an intake of 1,500 mL and an output of 1,600 mL in 24 hr: This client may require monitoring but does not indicate an acute crisis.
C. A client who has Graves' disease has a heart rate of 100/min and reports tremors: These symptoms are concerning but do not suggest an immediate life-threatening situation.
D. A client who has a left-sided stroke reports severe headache and is manifesting confusion. These symptoms may indicate worsening conditions such as hemorrhage or increased intracranial pressure. Severe headache and confusion in a stroke patient could indicate a new complication such as hemorrhage or worsening neurological status, requiring urgent assessment and intervention.
Correct Answer is ["22"]
Explanation
Dobutamine infusion calculation:
- Client weight: 220 pounds
- Dobutamine dose ordered: 5.5 mcg/kg/min
- Dobutamine concentration: 750 mg in 500 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 220 lbs / 2.2 lbs/kg = 100 kg
- Calculate mcg/min: 5.5 mcg/kg/min × 100 kg = 550 mcg/min
- Calculate mcg/hr: 550 mcg/min × 60 min/hr = 33000 mcg/hr
- Calculate mL/hr: Dobutamine concentration is 750 mg/500 mL, which equals 1500 mcg/mL.
- mL/hr = 33000 mcg/hr / 1500 mcg/mL = 22 mL/hr
Answers:
- mcg/min: 550 mcg/min
- mcg/hr: 33000 mcg/hr
- mL/hr: 22 mL/hr
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