During a workshop, a pathophysiology instructor is teaching a group of students about hypothyroidism. Which statement identifies why hypothyroidism is rarely seen in the U.S. (United States)?
Genetic predisposition to the illness is rare in North American populations.
The addition of iodide to salt helps lower the incidence in the US.
There are better screening tools in the U.S. than in other countries.
There are better medications more readily available to US citizens.
The Correct Answer is B
A. Decreased respirations and CO2 retention: A thyrotoxic crisis (thyroid storm) typically involves increased, not decreased, respiratory rates and CO2 retention due to increased metabolic activity.
B. Seizures and extreme tachycardia: Thyrotoxic crisis is characterized by severe symptoms including extreme tachycardia, fever, and potentially seizures due to excessive thyroid hormone levels.
C. Constipation and a swollen abdomen: Constipation and abdominal swelling are more typical of hypothyroidism rather than a thyrotoxic crisis.
D. Hypotension and bradycardia: Thyrotoxic crisis usually causes tachycardia and hypertension rather than bradycardia and hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Steroid injections will be administered daily: This is incorrect; steroid therapy may exacerbate Cushing's disease. The condition is often due to excessive production of cortisol, not a deficiency.
B. Weight gain and edema are present: Hyperaldosteronism, often associated with Cushing's syndrome, leads to sodium and water retention, resulting in weight gain and edema.
C. Painful leg cramps are common from hyperkalemia: Hyperaldosteronism typically causes hypokalemia, not hyperkalemia, leading to muscle cramps, not leg pain from hyperkalemia.
D. Decreased amount of body hair is frequently seen: Cushing's disease often leads to hirsutism (increased body hair), not a decrease.
Correct Answer is A
Explanation
A. Status epilepticus: Status epilepticus is a life-threatening condition where seizure activity is continuous or occurs in rapid succession without recovery between seizures.
B. Anticonvulsant syndrome: This term is not a recognized medical condition.
C. Syphilitic posturing: This term is not associated with seizure disorders and is not a recognized condition.
D. Positive Babinski reflex: This indicates an upper motor neuron lesion but is not related to continuous seizure activity.
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