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 D

Explanation

Choice A reason: Ignoring the client can escalate the behavior, as individuals with antisocial behavior may act out more to gain attention.

Choice B reason: Introducing him to the newly admitted client and asking him to join the conversation can disrupt the admission process and does not address the client's behavior appropriately.

Choice C reason: Encouraging him to go to the nurse's station and talk with another nurse may be an option, but it does not directly address the client's need for immediate attention.

Choice D reason: Informing him that the nurse is busy and will talk to him later sets clear boundaries and allows the nurse to complete the admission process without disruption.

A. The client's family will state signs and symptoms about the disease. B. The client will express acceptance of his changing health status. C. The nurse will demonstrate the procedure for accurate eye care. D. The client's daily blood pressure will be less than 140/80 mm Hg this month.

Correct Answer is D

Explanation

Choice A reason: While it is important for the client's family to understand signs and symptoms of diabetes, this outcome focuses on the family's knowledge rather than the client's health improvement.

Choice B reason: Expressing acceptance of changing health status is important for emotional well-being, but it does not directly address the client's physical health outcomes.

Choice C reason: Demonstrating accurate eye care procedures is part of nursing interventions, not an outcome.

Choice D reason: Maintaining blood pressure below 140/80 mm Hg is a specific, measurable, and relevant outcome for a client with type 2 diabetes, as it helps prevent complications related to hypertension and diabetes.

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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

The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

Correct Answer is D

Explanation

The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome should the nurse include in the plan of care for this client?

Correct Answer is D

Explanation

The healthcare provider prescribes a 5% dextrose injection with 20 units of regular insulin for a client with a serum potassium level of 6.0 mEq/L (6.0 mmol/L) and glucose level of 180 mg/dL (10.0 mmol/L). Which evaluation is most important for the nurse to include in this client's plan of care?

While the nurse is assessing an older client's fall risk, the client reports living at home alone and never falling. Which action should the nurse take?

A client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day IV in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes which pathology as the cause of the symptoms?

The nurse is admitting a client from the postanesthesia care unit (PACU) to the postoperative surgical care unit. Which prescription should the nurse implement first?

The nurse is preparing to administer a formula feeding by nasogastric tube (NGT) to a 2-month-old. Which intervention should the nurse implement?

The nurse is completing the admission assessment of a client with multiple sclerosis (MS). Which finding(s) should be reported to the healthcare provider immediately? Select all that apply.