A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

Tetany of the hands with a positive Chvostek sign

Polyuria, sweating and dry mucous membranes

Forgetfulness, depression and anemia

Nervousness, irritability, and diarrhea

Answer and Explanation

The Correct Answer is C

A. Tetany of the hands with a positive Chvostek sign: Tetany and a positive Chvostek sign are more associated with hypocalcemia rather than Hashimoto's thyroiditis.

B. Polyuria, sweating, and dry mucous membranes: These symptoms are more indicative of hyperthyroidism or diabetes rather than hypothyroidism, which is characteristic of Hashimoto's thyroiditis.

C. Forgetfulness, depression, and anemia: Hashimoto's thyroiditis, which causes hypothyroidism, can lead to symptoms like forgetfulness, depression, and anemia due to reduced thyroid hormone levels.

D. Nervousness, irritability, and diarrhea: These symptoms are associated with hyperthyroidism rather than hypothyroidism.

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Correct Answer is A

Explanation

A. Paralytic ileus: Paralytic ileus is a common complication of major abdominal surgery and prolonged bed rest. It is a temporary cessation of normal bowel peristalsis, leading to a lack of bowel sounds and the inability to pass gas or stool.

B. Esophageal dysplasia: This condition refers to abnormal changes in the cells of the esophagus, typically related to chronic gastroesophageal reflux disease (GERD), not prolonged bed rest.

C. Gastroparesis: This is a condition in which the stomach cannot empty itself of food in a normal fashion, often related to diabetes or damage to the vagus nerve. It is not a direct result of prolonged bed rest.

D. Paralytic ileum: This should refer to "paralytic ileus."

A. His body does not produce any insulin so he must receive insulin injections B. "The pills are not as effective as the insulin injections." C. "He will only be on insulin injections for a short while, then he can take a pill D. "He can stop the insulin injections once his body begins to make insulin again.

Correct Answer is A

Explanation

A. His body does not produce any insulin so he must receive insulin injections: Type I diabetes is characterized by the destruction of pancreatic beta cells, resulting in little to no insulin production. Therefore, insulin must be administered via injection to replace the insulin the body cannot produce.

B. The pills are not as effective as the insulin injections: While this might be partially true for Type I diabetes, it is not the complete answer. Oral medications are generally not effective in Type I diabetes because they stimulate the pancreas to produce insulin, which is not possible in these patients.

C. He will only be on insulin injections for a short while, then he can take a pill: This is incorrect. Type I diabetes requires lifelong insulin therapy.

D. He can stop the insulin injections once his body begins to make insulin again: This is incorrect as Type I diabetes is a permanent condition where the body cannot produce insulin.

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A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has recently undergone major abdominal surgery. Identify a sequela that can result from prolonged bed rest after a surgical procedure.

Correct Answer is A

Explanation

A young boy is admitted to the hospital with a diagnosis of new onset type I diabetes mellitus. As the registered nurse prepares to administer insulin, the child's mother asks why he can't just "take a pill. Which response, by the nurse, explains the rationale for an injection of insulin?

Correct Answer is A

Explanation

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