A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?
Myxedema coma
Goiters
Sjogren's syndrome
Hashimoto's disease
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hyperextend the client's neck: Incorrect; this can strain the surgical site. Neck should be supported in a neutral position.
B. Instruct the client to deep breathe every 4 hr: Deep breathing exercises prevent respiratory complications and promote lung expansion postoperatively. Helps prevent atelectasis and pneumonia.
C. Place the head of the client's bed in the flat position: Incorrect; semi-Fowler's position is preferred to reduce risk of airway compromise and edema.
D. Check the client's voice every 2 hr: Monitoring voice changes helps detect recurrent laryngeal nerve injury, a complication of thyroidectomy. Changes in voice quality can indicate vocal cord paralysis or injury.
Correct Answer is B
Explanation
A. Hypnosis: Not typically used for aggressive behavior disorders.
B. Cognitive-behavioral therapy (CBT). CBT is effective in modifying behavioral responses and addressing aggression through structured therapy sessions. CBT helps individuals recognize triggers for aggressive behavior and develop coping strategies.
C. Medication: Sometimes used adjunctively but not typically first-line for behavioral therapy.
D. Physical restraint: Used in emergencies but not a treatment for the disorder itself.
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