The nurse is interviewing a client with possible Graves' disease. Which response would the nurse expect when asking the client about her comfort in cold weather?

"I always need to have a sweater or jacket on."

"I am always warm and sometimes even hot during cold weather."

"I seem to have episodes of hot and cold without regard to what I am wearing."

"My fingers are sometimes cold during the cooler weather."

Answer and Explanation

The Correct Answer is B

Choice A reason: Needing a sweater or jacket is not typical for Graves' disease, which often causes intolerance to heat rather than cold.

Choice B reason: This response is typical for Graves' disease, as hyperthyroidism can increase metabolism, leading to feeling warm or hot even in cold weather.

Choice C reason: While temperature dysregulation can occur, the specific symptom of feeling warm in cold weather is more directly associated with Graves' disease.

Choice D reason: Cold fingers can be a symptom of many conditions, but it is not specifically indicative of Graves' disease.

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Correct Answer is A

Explanation

Choice A reason: The ABG results show an elevated pH and HCO3, which are indicative of metabolic alkalosis. The PaCO2 is within the normal range, suggesting that it is uncompensated.

Choice B reason: Respiratory acidosis would be indicated by an elevated PaCO2 and a decreased pH, which is not the case here.

Choice C reason: Metabolic acidosis would be indicated by a decreased pH and HCO3, which is not consistent with the given results.

Choice D reason: Respiratory alkalosis would be indicated by a decreased PaCO2 and an increased pH, which is not consistent with the given results.

A. "This medication takes a few weeks to work fully." B. "This replaces the hormone my body used to produce." C. "I may have to take this medication for the rest of my life." D. "I take this each morning with breakfast."

Correct Answer is D

Explanation

Choice A reason: The statement about the medication taking a few weeks to work fully is accurate and does not require follow-up.

Choice B reason: The statement that levothyroxine replaces the hormone the body used to produce is correct and reflects an understanding of the therapy.

Choice C reason: Acknowledging the possibility of lifelong medication is appropriate for levothyroxine therapy in the case of hypothyroidism.

Choice D reason: Levothyroxine should be taken on an empty stomach, typically 30 minutes to an hour before breakfast, to ensure proper absorption. This statement indicates a misunderstanding that requires nurse follow-up.

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The nurse is interviewing a client with possible Graves' disease. Which response would the nurse expect when asking the client about her comfort in cold weather?

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Naxlex Comprehensive Predictor Exams

A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Correct Answer is A

Explanation

The client has been instructed about levothyroxine (Synthroid) therapy. Which statement by the client requires follow-up by the nurse?

Correct Answer is D

Explanation

The nurse is interviewing a client with possible Graves' disease. Which response would the nurse expect when asking the client about her comfort in cold weather?

The nurse is reviewing orders received for a client diagnosed with sepsis. Which order should the nurse question?

The nurse suspects the client's dose of levothyroxine (Synthroid) is too low when the client displays which symptom?

The client with cirrhosis has developed spontaneous bacterial peritonitis (SBP). Which data indicates this complication of cirrhosis is occurring?

A client's arterial blood gas (ABG) reads: pH 7.18, PaCO2 54 mm Hg, HCO3 26 mEq/L. What condition does the nurse recognize may contribute to the development of this result? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Which diagnostic studies will the nurse monitor for the client being treated for sepsis? Select all that apply.