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. "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression." Defines the characteristic features of these disorders. Behavioral disruptive disorders, such as conduct disorder and oppositional defiant disorder, involve persistent patterns of disruptive behavior, defiance, and aggression.

B. "Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life." Incorrect; these behaviors may persist into adulthood.

C. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood." Typically diagnosed earlier in childhood or adolescence.

D. "Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression." Self-directed harm is not a primary feature of disruptive behavior disorders.

A. "DIC is characterized by an elevated platelet count." B. "DIC is caused by abnormal coagulation involving fibrinogen." C. "DIC is controllable with lifelong heparin usage." D. "DIC is a genetic disorder involving a vitamin K deficiency."

Correct Answer is B

Explanation

A. "DIC is characterized by an elevated platelet count." Incorrect; DIC typically causes thrombocytopenia.

B. "DIC is caused by abnormal coagulation involving fibrinogen." DIC involves widespread activation of coagulation factors leading to the formation of microthrombi and consumption of clotting factors like fibrinogen. Understanding the pathophysiology helps in managing DIC effectively.

C. "DIC is controllable with lifelong heparin usage." Heparin is not used in DIC management due to the risk of bleeding.

D. "DIC is a genetic disorder involving a vitamin K deficiency." DIC is not genetic and is not caused by vitamin K deficiency.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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