The nurse is educating a client on foods to avoid when taking iodine supplements in a client with Graves' disease. Which of the following would be included in this teaching plan? (Select all that apply)

Brussel sprouts

Cabbage

Broccoli

Fish

Peaches

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: Brussel sprouts, goitrogens, inhibit iodine uptake by the thyroid, reducing hormone production in Graves’ disease, countering excess T3/T4 when on iodine supplements.

Choice B reason: Cabbage, a cruciferous vegetable, contains goitrogens that block iodine incorporation into thyroid hormones, helping manage hyperthyroidism’s overactivity with supplements.

Choice C reason: Broccoli’s goitrogenic compounds suppress thyroid function by limiting iodine use, aiding in controlling Graves’ disease’s excessive hormone synthesis during treatment.

Choice D reason: Fish, rich in iodine, boosts thyroid hormone production, worsening Graves’ disease, so it’s avoided when taking iodine supplements to reduce T3/T4 levels.

Choice E reason: Peaches lack significant iodine or goitrogens, having no impact on thyroid function, so they’re not restricted in Graves’ disease management with iodine.

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Correct Answer is B

Explanation

Choice A reason: pH 7.53 and low CO2 (32) indicate respiratory alkalosis from hyperventilation, not typical in chest trauma where breathing is impaired. HCO3 (24) is normal, showing no compensation yet, misaligning with trauma physiology.

Choice B reason: pH 7.30, high CO2 (52), and near-normal HCO3 (22) reflect respiratory acidosis from hypoventilation in chest trauma, like rib fractures, reducing air exchange. Compensation is minimal acutely, fitting the clinical scenario.

Choice C reason: pH 7.49 and low CO2 (30) suggest respiratory alkalosis, while low HCO3 (14) indicates metabolic compensation. This doesn’t match chest trauma’s ventilatory restriction, which elevates CO2 instead.

Choice D reason: pH 7.26, CO2 (45), and low HCO3 (18) show mixed acidosis. Chest trauma primarily causes respiratory acidosis from CO2 retention, not a significant metabolic drop acutely, making this less precise.

A. A client with an intestinal obstruction whose nasogastric tube has drained 150 mL in 8 hours B. A client with ascites who has a respiratory rate of 26 and oxygen saturation level of 90% C. A client with acute pancreatitis who has decreased breath sounds with increased crackles D. A client with stable esophageal varices and a blood pressure of 92/45

Correct Answer is A

Explanation

Choice A reason: 150 mL NG drainage in 8 hours is low for obstruction, suggesting stability; it’s less urgent than respiratory compromise in other clients.

Choice B reason: Respiratory rate 26 and 90% saturation indicate distress in ascites, but crackles suggest fluid overload, less acute than pancreatitis’s pulmonary risk.

Choice C reason: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening complication, prioritizing immediate respiratory assessment.

Choice D reason: BP 92/45 with stable varices is concerning but not acutely unstable without bleeding signs, less critical than respiratory failure in pancreatitis.

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The nurse is educating a client on foods to avoid when taking iodine supplements in a client with Graves' disease. Which of the following would be included in this teaching plan? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

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