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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A. Pernicious anemia: Typically involves vitamin B12 deficiency, not associated with heavy menstrual periods.
B. Folic acid deficiency anemia: Presents with similar symptoms but does not typically cause heavy menstrual bleeding.
C. Iron deficiency anemia. Iron deficiency anemia is characterized by low hemoglobin and hematocrit due to insufficient iron for red blood cell production. Symptoms of weakness, fatigue, and heavy menstrual bleeding are classic signs of iron deficiency anemia, which is confirmed by low hemoglobin and hematocrit levels.
D. Sickle cell anemia: Characterized by sickle-shaped red blood cells and is genetic in nature, not related to heavy menstrual bleeding.
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