Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY

Heat intolerance

Diarrhea

Weight loss

Weight gain

Bradycardia

Answer and Explanation

Correct Answer : A,B,C

Choice A Reason: Heat intolerance is a common finding in hyperthyroidism, as the increased metabolic rate causes the body to produce more heat and sweat.

Choice B Reason: Diarrhea is a common finding in hyperthyroidism, as the increased motility of the gastrointestinal tract causes more frequent and loose stools.

Choice C Reason: Weight loss is a common finding in hyperthyroidism, as the increased metabolism and appetite cause the body to burn more calories than it consumes.

Choice D Reason: Weight gain is not a common finding in hyperthyroidism, but it may indicate other conditions such as hypothyroidism or Cushing's syndrome.

Choice E Reason: Bradycardia is not a common finding in hyperthyroidism, but it may indicate other conditions such as heart block or beta-blocker use.

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Correct Answer is A

Explanation

Choice A Reason: Urine output 800 mL/hr is a sign of diabetes insipidus, as it indicates that the kidneys are producing large amounts of diluted urine due to the lack of antidiuretic hormone (ADH) or its action.

Choice B Reason: Blood glucose 198 mg/dL is not a sign of diabetes insipidus, but it may indicate diabetes mellitus or hyperglycemia.

Choice C Reason: Serum sodium 145 mEq/L is not a sign of diabetes insipidus, but it is within the normal range (135-145 mEq/L).

Choice D Reason: Urine specific gravity 1.028 is not a sign of diabetes insipidus, but it indicates concentrated urine due to dehydration or other causes.

A. Assist the RN to prepare an intravenous (IV) insulin infusion. B. Give the client 4 oz of orange juice. C. Check the client's capillary blood glucose. D. Assist the RN to administer 50% dextrose.

Correct Answer is C

Explanation

Choice A Reason: Assisting the RN to prepare an IV insulin infusion is not the first action that the nurse should take, as it may not be appropriate for the client's condition without knowing the blood glucose level.

Choice B Reason: Giving the client 4 oz of orange juice is not the first action that the nurse should take, as it may worsen the client's condition if the blood glucose level is high.

Choice C Reason: Checking the client's capillary blood glucose is the first action that the nurse should take, as it helps to determine if the client has hyperglycemia or hypoglycemia and guides the appropriate intervention.

Choice D Reason: Assisting the RN to administer 50% dextrose is not the first action that the nurse should take, as it may be harmful for the client if the blood glucose level is high.

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Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY

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Naxlex Comprehensive Predictor Exams

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