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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Gamma globulins (IVIG) provide antibodies to fight infections and stabilize platelet and RBC counts in lupus by modulating immunity, addressing cytopenias effectively.
Choice B reason: Prednisone suppresses immunity, reducing lupus inflammation but lowering infection resistance and not directly boosting platelets or RBCs, risking suppression.
Choice C reason: Methotrexate inhibits folate, suppressing lupus immune activity, but it can reduce blood cell production, not increase platelets or RBCs, worsening counts.
Choice D reason: Hydroxychloroquine prevents lupus flares by stabilizing lysosomes, not boosting blood counts or immunity, focusing on symptom control, not cytopenias.
Correct Answer is B
Explanation
Choice A reason: Decreased body temperature reflects hypothyroidism; levothyroxine raises metabolism, normalizing or increasing temperature, so this isn’t a therapeutic response.
Choice B reason: Increased energy occurs as levothyroxine restores thyroid hormone, boosting metabolism, reversing hypothyroidism’s fatigue, a key sign of effective treatment.
Choice C reason: Weight gain contradicts levothyroxine’s effect; it increases metabolism, aiding weight loss or stabilization, not gain, in hypothyroidism treatment.
Choice D reason: Decreased appetite isn’t typical; levothyroxine may normalize appetite as metabolism rises, not suppress it, differing from hypothyroidism’s effects.
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