The nurse is planning the care of a patient with hyperthyroidism.
What should the nurse specify in the patient's meal plan?

A reduced-calorie diet, high in nutrients.

Small, frequent meals, high in protein and carbohydrates.

Three large, bland meals a day.

A diet high in fiber and plant-sourced fat.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While a reduced-calorie diet may be helpful in some conditions, patients with hyperthyroidism typically require high-calorie diets due to their elevated metabolic rate.

Choice B rationale

Small, frequent meals high in protein and carbohydrates help to meet the increased metabolic demands and prevent muscle wasting in hyperthyroid patients.

Choice C rationale

Large, bland meals are not ideal as patients with hyperthyroidism have high metabolic rates and may require more frequent nutrient intake.

Choice D rationale

While fiber is beneficial for digestive health, it does not specifically address the high metabolic needs of hyperthyroid patients.

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Correct Answer is D

Explanation

Choice A rationale

Filgrastim (G-CSF) is used to stimulate the production of white blood cells to decrease the risk of infection. A formed bowel movement is unrelated to the specific outcomes of this medication.

Choice B rationale

While filgrastim can improve overall blood cell counts, its primary goal is to enhance neutrophil counts, rather than addressing skin petechiae or purpura, which may be related to platelet levels.

Choice C rationale

Filgrastim does not target gastrointestinal symptoms such as nausea. Instead, it is aimed at restoring neutrophil levels to reduce infection risk.

Choice D rationale

Filgrastim is specifically designed to increase neutrophil counts, thus helping the patient to be free from infections by discharge, which is a SMART goal.

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 planning the care of a patient with hyperthyroidism.What should the nurse specify in the patient's meal plan?

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Naxlex Comprehensive Predictor Exams

The nurse is administering filgrastim (G-CSF) to a patient with colorectal cancer after finishing a cycle of chemotherapy.Which SMART Outcome will this intervention help to achieve?

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Correct Answer is D

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The nurse is planning the care of a patient with hyperthyroidism.
What should the nurse specify in the patient's meal plan?