A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?

"You will need to use a bathroom separate from other household members."

"You will need to remain at the hospital for the entire time the radioiodine is radioactive."

"A low fiber diet will be necessary."

"Additional Immunizations will be needed for full protection."

Answer and Explanation

The Correct Answer is A

A. "You will need to use a bathroom separate from other household members." This prevents others from exposure to radioiodine through bodily fluids. Radioiodine is excreted primarily through urine and to a lesser extent through saliva and sweat, necessitating separate bathroom use to minimize radiation exposure to others.

B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." Most RAI treatments for hyperthyroidism are done on an outpatient basis.

C. "A low fiber diet will be necessary." Unrelated to radioiodine treatment. There is no specific dietary restriction related to fiber for RAI treatment.

D. "Additional Immunizations will be needed for full protection." Not relevant to radioiodine treatment. Radioiodine treatment does not require additional immunizations.

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Correct Answer is A

Explanation

A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.

B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.

C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.

D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.

A. Lethality of the method and availability of means B. Client's educational and economic background C. Client's insight into the reasons for the decision. D. Quality of the client's social support

Correct Answer is A

Explanation

A. Lethality of the method and availability of means. Assessing the method and means helps determine the immediacy and seriousness of the threat. Knowing the lethality of the method and whether the means are readily available informs the level of intervention needed to keep the client safe.

B. Client's educational and economic background: While socioeconomic factors can influence mental health, they are not immediate priorities in a suicidal crisis.

C. Client's insight into the reasons for the decision: Insight is important for understanding motivations but is secondary to immediate safety concerns.

D. Quality of the client's social support: Social support is crucial but is secondary to assessing imminent risk of harm.

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A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?

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