The nurse is educating a newly diagnosed client about treatment for hyperthyroidism. Which of the following statements would require further teaching?
It is important that I take my levothyroxine daily to help manage my hyperthyroidism
I should avoid foods like kale, cabbage, Brussel sprouts, and cauliflower
Methimazole will decrease my T3 and T4 levels
Iodine will prevent the thyroid hormone from being released into the bloodstream
The Correct Answer is A
Choice A reason: Levothyroxine treats hypothyroidism by adding T4, worsening hyperthyroidism’s excess hormone; antithyroid drugs are needed, so this statement is incorrect.
Choice B reason: Avoiding goitrogens (kale, cabbage) prevents thyroid suppression, appropriate in hyperthyroidism where reducing hormone production is the goal, so this is correct.
Choice C reason: Methimazole inhibits thyroid hormone synthesis, lowering T3 and T4 in hyperthyroidism, a standard treatment, making this statement accurate.
Choice D reason: Iodine blocks thyroid hormone release, reducing circulating T3/T4 in hyperthyroidism, a correct approach, especially in acute settings, so this is valid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Nasogastric suction removes gastric acid (HCl), reducing hydrogen ions, raising pH, and causing metabolic alkalosis, a common post-surgical complication here.
Choice B reason: Panic attacks cause respiratory alkalosis from hyperventilation, lowering CO2, not metabolic alkalosis, which involves base excess, unrelated to this ABG.
Choice C reason: ESRD typically causes metabolic acidosis from acid retention, not alkalosis, as kidneys fail to excrete hydrogen, opposing this patient’s ABG findings.
Choice D reason: Epidural catheters manage pain with analgesics, not affecting acid-base balance or causing metabolic alkalosis, irrelevant to the ABG shift observed.
Correct Answer is C
Explanation
Choice A reason: Crackles indicate pulmonary edema from left-sided heart failure, where fluid backs up into lungs, not right-sided failure, which affects systemic circulation instead.
Choice B reason: Orthopnea, dyspnea when lying flat, results from left-sided failure’s pulmonary congestion, not right-sided failure, which causes systemic venous pooling, not lung issues.
Choice C reason: Jugular venous distention occurs in right-sided heart failure as the right ventricle fails, backing blood into veins, elevating neck vein pressure visibly.
Choice D reason: Blood-tinged sputum suggests pulmonary edema or infarction, tied to left-sided failure or embolism, not right-sided failure’s systemic congestion pattern.
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