Which of the following conditions would be expected with a client with an elevated thyroid-stimulating hormone (TSH) level with a decreased Triiodothyronine (T3) and Thyroxine (T4) level?
Increased serum calcium
Normal thyroid functioning
Hyperthyroidism
Hypothyroidism
The Correct Answer is D
Choice D rationale
An elevated thyroid-stimulating hormone (TSH) level combined with decreased Triiodothyronine (T3) and Thyroxine (T4) levels is indicative of hypothyroidism. This is due to the body attempting to stimulate the underactive thyroid gland to produce more thyroid hormones (Healthline, 2022).
Choice A rationale
Hyperparathyroidism, characterized by elevated serum calcium, does not involve thyroid hormone levels (nih.gov, n.d.).
Choice B rationale
Normal thyroid functioning would not exhibit elevated TSH with decreased T3 and T4 levels (Healthline, 2022).
Choice C rationale
Hyperthyroidism would present with low TSH levels and elevated T3 and T4 levels (Studocu, n.d.).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale
Potassium is the electrolyte that can cause fatal cardiac dysrhythmias in a client with chronic kidney disease. Hyperkalemia, or high levels of potassium in the blood, is a common electrolyte disorder in patients with advanced chronic kidney disease. It can lead to dangerous cardiac arrhythmias and is considered a medical emergency.
Correct Answer is D
Explanation
Choice D rationale
Heartburn is a primary symptom of gastroesophageal reflux disease (GERD), which occurs when stomach acid frequently flows back into the esophagus, causing irritation and discomfort (nih.gov, n.d.).
Choice A rationale
Crohn's disease is a type of inflammatory bowel disease that can cause symptoms like abdominal pain, diarrhea, and weight loss, but heartburn is not a typical symptom (Healthline, 2022).
Choice B rationale
Diverticulitis results from inflammation or infection of diverticula in the colon, leading to symptoms like abdominal pain, fever, and changes in bowel habits (nih.gov, n.d.).
Choice C rationale
Ulcerative colitis is another type of inflammatory bowel disease that causes inflammation and ulcers in the colon, resulting in bloody diarrhea and abdominal pain, but not typically heartburn (Healthline, 2022).
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