The nurse has reviewed the nurses' notes at 0940, vital signs at 0945, and laboratory reports at 1020.
For each assessment finding, click to specify if the finding is consistent with diabetes, pancreatitis, or hyperthyroidism. Each finding may support more than one disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.
Weight
Heart rate
T3 level
Blood glucose
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}
Diabetes:
• Weight
• Blood glucose
Pancreatitis:
• None
Hyperthyroidism:
• Heart rate
• T3 level
Rationale:
• Weight: The client has experienced unintended weight loss, which is a common symptom of diabetes due to the body's inability to use glucose effectively, leading to fat and muscle breakdown.
• Heart rate: Tachycardia is a hallmark of hyperthyroidism due to increased metabolic activity and sympathetic nervous system stimulation.
• T3 level: The T3 level is within the normal range but on the higher end, which can still support hyperthyroidism when considered with other clinical findings.
• Blood glucose: An elevated blood glucose level of 250 mg/dL is consistent with diabetes, as normal fasting levels are below 106 mg/dL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Remain at least 1 foot away from young children during treatment: Clients receiving radioactive isotope therapy should maintain a greater distance, typically at least 6 feet from children and pregnant individuals, to minimize radiation exposure.
B. Use cloth handkerchiefs instead of disposable tissues: Disposable tissues are recommended for nasal secretions because they can be discarded immediately, reducing contamination risk. Cloth handkerchiefs may retain radioactive particles, increasing exposure.
C. Use absorbent briefs for incontinence as needed: While managing incontinence is important, absorbent briefs may retain radioactive urine, increasing the risk of prolonged exposure. Frequent voiding and proper disposal of contaminated materials are preferred.
D. Flush the toilet with the lid closed three times after use: This helps minimize radiation exposure to others by ensuring radioactive waste is thoroughly diluted and flushed away, reducing contamination in the surrounding environment.
Correct Answer is D
Explanation
A. Discontinue opioids before trying nonpharmacological methods of pain relief: Nonpharmacological interventions can be used alongside opioids to enhance pain relief. Abruptly discontinuing opioids can lead to withdrawal symptoms and inadequate pain control.
B. Pain relief from the use of heat and cold continues for several hours after removal of the stimulus: While heat and cold therapy can provide temporary relief, their effects typically last for a short duration, usually around 15 to 30 minutes after removal.
C. Use imagery with clients who have difficulty with focus and concentration: Guided imagery requires cognitive focus and the ability to concentrate. Clients with impaired attention may struggle to benefit from this technique.
D. Distraction changes the client's perception of pain, but it does not affect the cause: Distraction techniques, such as music or conversation, help shift the client's attention away from pain, altering perception but not addressing the underlying pathology.
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