The nurse is caring for a patient who is scheduled for thyroid diagnostic testing.
Which information, that may affect the test results, should be documented on the patient's electronic medical record (EMR) and communicated to the personnel conducting the test?

The patient is currently taking estrogen replacement.

The patient has a sensitivity to lactose.

The patient is currently taking anti-seizure medication.

The patient frequently eats kelp or seaweed.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Estrogen replacement therapy can have various effects on the body but does not significantly impact thyroid diagnostic tests. This information is still relevant for the patient's overall medical care but not directly related to thyroid testing results.

Choice B rationale

Lactose sensitivity is important for dietary considerations but does not affect thyroid diagnostic tests. Documenting dietary restrictions is important for patient care but does not impact the specific diagnostic tests for thyroid function.

Choice C rationale

Anti-seizure medications can affect thyroid function tests, particularly those that affect the metabolism of thyroid hormones. However, the consumption of iodine-rich foods like kelp or seaweed has a more direct and significant impact on thyroid function and diagnostic testing.

Choice D rationale

Frequent consumption of kelp or seaweed, which are high in iodine, can influence thyroid function tests by altering thyroid hormone levels. This dietary habit should be documented and communicated to ensure accurate interpretation of thyroid function test results. .

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Correct Answer is C

Explanation

Choice A rationale

Dosimeter badges are used for monitoring radiation exposure, not for handling chemotherapy. They are worn by healthcare workers working in areas with ionizing radiation to track their cumulative exposure and ensure it stays within safe limits.

Choice B rationale

Lead aprons are also used to protect against radiation exposure, not chemotherapy. They shield the body from ionizing radiation but do not provide protection from the cytotoxic effects of chemotherapy agents.

Choice C rationale

Personal protective equipment (PPE), including gloves and gowns, is essential for safely handling chemotherapy drugs to prevent skin contact and inhalation of hazardous chemicals. This reduces the risk of exposure to these toxic agents, protecting both the nurse and the patient.

Choice D rationale

Chemotherapy waste should be disposed of in designated chemotherapy waste containers, not in standard sharps containers. These specialized containers ensure that hazardous waste is handled according to safety regulations, reducing the risk of environmental contamination and exposure.

A. "I have lost weight since taking this medication.” B. "I perspire a lot throughout the entire day.” C. "I have excess energy throughout the day.” D. "I am able to sleep and rest at night.”

Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale

Weight loss in a patient with hyperthyroidism typically occurs due to an increased metabolic rate. Propylthiouracil (PTU) is used to decrease thyroid hormone production. Effective treatment would stabilize metabolism and prevent further weight loss, but not necessarily result in weight gain.

Choice B rationale

Excessive sweating (perspiration) is a common symptom of hyperthyroidism due to an overactive thyroid gland. PTU aims to reduce thyroid hormone levels. Effective treatment should lead to a decrease in sweating as the metabolic rate normalizes.

Choice C rationale

Excess energy and hyperactivity are signs of untreated or inadequately treated hyperthyroidism. PTU reduces the production of thyroid hormones, and effective treatment should alleviate symptoms of excessive energy, resulting in more balanced energy levels.

Choice D rationale

Improved sleep and rest at night indicate effective management of hyperthyroidism. Reduced thyroid hormone levels from PTU help alleviate symptoms such as anxiety, restlessness, and insomnia, allowing the patient to achieve better sleep quality. .

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The nurse is caring for a patient who is scheduled for thyroid diagnostic testing.Which information, that may affect the test results, should be documented on the patient's electronic medical record (EMR) and communicated to the personnel conducting the test?

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Naxlex Comprehensive Predictor Exams

The nurse manager is orienting a new nurse to the oncology unit.What will the nurse manager teach about best practices for safe handling and administration of chemotherapy?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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The nurse is caring for a patient who is scheduled for thyroid diagnostic testing.
Which information, that may affect the test results, should be documented on the patient's electronic medical record (EMR) and communicated to the personnel conducting the test?