Which assessment finding of a postmenopausal woman necessitates a referral by the nurse to a healthcare provider for evaluation of thyroid functioning?

Leg numbness.

Cold sensitivity.

Slow weight loss.

Muscle weakness.

Answer and Explanation

The Correct Answer is B

Choice A reason: Leg numbness is not a typical symptom of thyroid dysfunction and may be related to other conditions such as peripheral neuropathy.

Choice B reason: Cold sensitivity is a common symptom of hypothyroidism and warrants evaluation of thyroid function.

Choice C reason: Slow weight loss is not a typical symptom of thyroid dysfunction; unexplained weight gain is more indicative of hypothyroidism.

Choice D reason: Muscle weakness can be associated with various conditions, but cold sensitivity is more specific to thyroid issues.

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Correct Answer is C

Explanation

Choice A reason: Intubation is not the first step in managing COPD exacerbation unless the client is in severe respiratory failure (e.g., unresponsive, unable to protect airway, pH severely low). This client is alert, able to maintain vitals, so less invasive interventions should be tried first.

Choice B reason: High-flow oxygen at 100% can eliminate the hypoxic drive to breathe in COPD patients, leading to CO₂ retention and respiratory acidosis. Controlled oxygen therapy (e.g., nasal cannula or Venturi mask at 1–2 L/min or FiO₂ 24–28%) is preferred.

Choice C reason: This "tripod" position reduces work of breathing by optimizing diaphragmatic expansion and helping accessory muscles function more effectively. It is an evidence-based immediate nursing intervention for acute dyspnea in COPD.

Choice D reason: Obtaining a sputum sample for culture and sensitivity is important for identifying the cause of the infection but is not the immediate priority.

A. Encourage rest until the analgesic becomes effective. B. Position bedside table so the client can lean across it. C. Raise head of bed until to a 90-degree angle. D. Place bed in a reverse Trendelenburg position.

Correct Answer is B

Explanation

Choice A reason: Encouraging rest may not relieve the pain; sitting up and leaning forward is a common position for relief in pancreatitis.

Choice B reason: Positioning the bedside table allows the client to lean forward comfortably and may help alleviate the pain.

Choice C reason: Raising the head of the bed to a 90-degree angle may not provide the same relief as leaning forward.

Choice D reason: Reverse Trendelenburg position is not specifically indicated for pancreatitis pain relief.

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Which assessment finding of a postmenopausal woman necessitates a referral by the nurse to a healthcare provider for evaluation of thyroid functioning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

Correct Answer is B

Explanation

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