The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. The nurse should identify which of the following laboratory results is an expected finding?
Decreased thyrotropin receptor antibodies
Decreased free thyroxine index
Decreased triiodothyronine
Decreased thyroid-stimulating hormone (TSH)
The Correct Answer is D
A. Decreased thyrotropin receptor antibodies: Graves' disease is characterized by the presence of thyrotropin receptor antibodies, so they are typically increased, not decreased.
B. Decreased free thyroxine index: Graves' disease typically results in increased levels of thyroid hormones, not decreased.
C. Decreased triiodothyronine: T3 levels may be elevated in Graves' disease due to increased thyroid hormone production.
D. Decreased thyroid-stimulating hormone (TSH): Graves' disease causes excessive thyroid hormone production, leading to suppressed TSH levels. TSH is typically low in hyperthyroidism because the thyroid gland is overactive and not being stimulated by the pituitary gland.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Withdrawing socially from family and friends: While social withdrawal can be a sign of depression and potential suicidal thoughts, it doesn't necessarily indicate immediate risk.
B. Complaining about feeling great guilt or shame: Reflects emotional distress but not an immediate risk indicator.
C. Engaging in risky behavior, such as fast driving: Risky behavior can be a sign of self-destructive tendencies, but it doesn't always indicate a suicide attempt.
D. Feeling physical and emotional pain that is unbearable: Feeling unbearable physical and emotional pain is a powerful indicator of desperation and can lead someone to consider suicide as an escape. This intense level of distress suggests a higher risk of immediate action.
Correct Answer is A
Explanation
A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.
B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.
C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.
D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.
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