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 B

Explanation

A. Tell the client that being in foster care can help with coping: Minimizes the client's emotional needs and may not address the grief adequately.

B. Explain how grief support groups could increase coping and social support. Grief support groups offer peer support and validation, which can be crucial for coping with loss and loneliness. Encouraging participation in support groups helps the client connect with others who have experienced similar losses and facilitates coping.

C. Encourage the client to ask the provider for medication: Not typically the first approach for addressing social support issues.

D. Suggest using the internet as a source for finding supportive friends: Safety and reliability of online friendships can vary, and in-person support is often more beneficial.

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you." C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature." D. "It's a common misconception that there is a medication available to treat every health problem."

Correct Answer is A

Explanation

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.

B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.

C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.

D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.

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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

A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system, the client responds. "My mom died last year. and I have been in foster care ever since. I don't have many friends." Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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