The nurse practitioner is assessing clients for their risk of developing hypothyroidism. Which of these clients would the nurse consider at greatest risk?
A 50-year-old woman who had a thyroidectomy.
A 49-year-old man who works in a pesticide factory.
A 25-year-old woman with thyroid nodules.
A 71-year-old man with vomiting secondary to influenza.
The Correct Answer is A
Choice A reason: A thyroidectomy, which is the surgical removal of the thyroid gland, directly leads to hypothyroidism because the body can no longer produce thyroid hormones. This client is at the greatest risk of developing hypothyroidism.
Choice B reason: While exposure to certain chemicals in pesticides can be a risk factor for thyroid dysfunction, it does not pose as immediate a risk as the removal of the thyroid gland itself.
Choice C reason: Thyroid nodules can be associated with thyroid dysfunction, but not all nodules result in hypothyroidism, and many are benign and asymptomatic.
Choice D reason: Vomiting secondary to influenza is not directly related to the development of hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A reason: A thyroidectomy, which is the surgical removal of the thyroid gland, directly leads to hypothyroidism because the body can no longer produce thyroid hormones. This client is at the greatest risk of developing hypothyroidism.
Choice B reason: While exposure to certain chemicals in pesticides can be a risk factor for thyroid dysfunction, it does not pose as immediate a risk as the removal of the thyroid gland itself.
Choice C reason: Thyroid nodules can be associated with thyroid dysfunction, but not all nodules result in hypothyroidism, and many are benign and asymptomatic.
Choice D reason: Vomiting secondary to influenza is not directly related to the development of hypothyroidism.
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