A nurse is providing teaching about managing anxiety to a client who has anxiety disorder. Which of the following recommendations should the nurse make for when the client experiences mild anxiety?

"Try doing progressive muscle relaxation."

"Surround yourself with a crowd of people."

"Focus on taking shallow, rapid breaths."

"Suppress your feelings to the best of your ability."

Answer and Explanation

The Correct Answer is A

Choice A reason: Progressive muscle relaxation is an effective technique for managing mild anxiety. It involves tensing and relaxing muscle groups to reduce physical tension and promote calmness. This is a healthy coping strategy that empowers the client to manage symptoms.

Choice B reason: Surrounding oneself with a crowd of people can increase anxiety rather than reduce it. Crowds may overstimulate the client and worsen symptoms.

Choice C reason: Shallow, rapid breathing exacerbates anxiety by increasing sympathetic nervous system activity and reducing oxygenation. The nurse should encourage slow, deep breathing instead.

Choice D reason: Suppressing feelings is maladaptive and can worsen anxiety over time. Healthy coping strategies involve acknowledging and managing feelings, not ignoring them.

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Correct Answer is B

Explanation

Choice A reason: Depression is not an adverse effect of levothyroxine. In fact, untreated hypothyroidism can cause depressive symptoms, which typically improve with appropriate thyroid hormone replacement.

Choice B reason: Weight loss is the correct answer because levothyroxine increases metabolic rate. Excessive dosing or sensitivity to the medication can lead to hyperthyroid-like symptoms, including weight loss, tachycardia, anxiety, and heat intolerance.

Choice C reason: Cold intolerance is a symptom of hypothyroidism, not an adverse effect of levothyroxine. Proper dosing should alleviate cold intolerance rather than cause it.

Choice D reason: Constipation is also a symptom of hypothyroidism. Levothyroxine therapy generally improves bowel motility. Constipation is not considered an adverse effect of the medication.

A. Decreased blood urea nitrogen B. Decreased serum potassium C. Increased triglyceride level D. Increased calcium level

Correct Answer is C

Explanation

Choice A reason: Decreased blood urea nitrogen is not a typical finding in metabolic syndrome. Blood urea nitrogen levels are more reflective of renal function and hydration status. Metabolic syndrome is characterized by a cluster of metabolic abnormalities such as dyslipidemia, insulin resistance, hypertension, and central obesity. Therefore, a decrease in blood urea nitrogen is unrelated and not expected in this condition.

Choice B reason: Decreased serum potassium is not a hallmark of metabolic syndrome. Potassium levels are influenced by renal function, diuretic use, or gastrointestinal losses, but metabolic syndrome does not inherently cause hypokalemia. Electrolyte disturbances are not part of the diagnostic criteria for metabolic syndrome, making this finding incorrect.

Choice C reason: Increased triglyceride level is a classic finding in metabolic syndrome. Elevated triglycerides are part of the diagnostic criteria, along with increased waist circumference, elevated fasting glucose, reduced HDL cholesterol, and hypertension. Hypertriglyceridemia reflects insulin resistance and altered lipid metabolism, both central features of metabolic syndrome. This makes it the correct answer.

Choice D reason: Increased calcium level is not associated with metabolic syndrome. Calcium levels are typically influenced by parathyroid hormone regulation, vitamin D status, or bone metabolism. Metabolic syndrome does not directly alter calcium homeostasis, so this finding would not be expected.

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A nurse is providing teaching about managing anxiety to a client who has anxiety disorder. Which of the following recommendations should the nurse make for when the client experiences mild anxiety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking levothyroxine. Which of the following findings should the nurse identify as an adverse effect?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory results of a client who has metabolic syndrome. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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