The nurse is caring for a patient diagnosed with hypothyroidism. When assessing this patient, what sign or symptom would the nurse expect?

Flushed skin

Palpitations

Bulging eyes

Fatigue

Answer and Explanation

The Correct Answer is D

A. Flushed skin: Flushed or warm skin is more characteristic of hyperthyroidism, where there is an excess of thyroid hormones.

B. Palpitations: Palpitations or a rapid heartbeat are more characteristic of hyperthyroidism, where there is an excess of thyroid hormones.

C. Bulging eyes: Bulging or protruding eyes, known as exophthalmos, is a characteristic sign of Graves' disease, which is a specific type of hyperthyroidism.

D. Fatigue: This is correct. Fatigue is a common symptom of hypothyroidism, reflecting the overall slowing down of the body's processes.

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Correct Answer is B

Explanation

A. Increase the intake of vitamin E to enhance absorption:
Explanation: Iron absorption can be enhanced by taking vitamin C, not vitamin E. Therefore, this statement is not accurate.
B. Iron will cause the stools to darken in color:
Explanation: This statement is accurate. Iron supplements can cause stools to become darker in color. This is a common and harmless side effect.

C. Take the iron with dairy products to enhance absorption:
Explanation: Calcium-containing foods and supplements can inhibit the absorption of iron. Therefore, it is recommended to avoid taking iron supplements with dairy products.

D. Limit foods high in fiber due to the risk for diarrhea:
Explanation: Iron supplements can cause constipation, not diarrhea. Therefore, limiting foods high in fiber is not necessary.

A. Leukemia B. Hemolytic anemia C. Hypoproliferative anemia D. Thrombocytopenia

Correct Answer is B

Explanation

A. Leukemia:
Explanation: Leukemia is a cancer of the blood-forming tissues, including the bone marrow and lymphatic system. It typically presents with an abnormal increase in white blood cells. While fatigue can be a symptom, increased bilirubin concentration and an increased reticulocyte count are not typical findings in leukemia.

B. Hemolytic Anemia:
Explanation: Hemolytic anemia is characterized by the premature destruction of red blood cells, leading to an increased release of bilirubin (from the breakdown of hemoglobin) and an increased reticulocyte count (as the body attempts to compensate by producing more red blood cells). This is a likely possibility given the presented symptoms.

C. Hypoproliferative Anemia:
Explanation: Hypoproliferative anemia is characterized by a decreased production of red blood cells. It is unlikely in this scenario, as an increased reticulocyte count suggests an attempt by the bone marrow to increase red blood cell production.

D. Thrombocytopenia:
Explanation: Thrombocytopenia is a condition characterized by a low platelet count. It does not typically present with an increased bilirubin concentration or an increased reticulocyte count.

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The nurse is caring for a patient diagnosed with hypothyroidism. When assessing this patient, what sign or symptom would the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?

Correct Answer is B

Explanation

A client comes into the clinic complaining of fatigue. Blood work shows an increased bilirubin concentration and an increased reticulocyte count. What would the nurse suspect the patient has?

Correct Answer is B

Explanation

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The nurse is caring for a patient diagnosed with hypothyroidism. When assessing this patient, what sign or symptom would the nurse expect?

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