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.).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The urethra is a tube that carries urine from the bladder out of the body. It is not typically the location of a pyelonephritis infection.
Choice B rationale
The bladder is part of the lower urinary tract and is typically not the location of a pyelonephritis infection.
Choice C rationale
The ureters are tubes that carry urine from the kidneys to the bladder. While they can be affected by urinary tract infections, they are not typically the primary location of a pyelonephritis infection.
Choice D rationale
Pyelonephritis is an infection that occurs in the kidneys. It typically starts in the lower urinary tract, such as the bladder, and then spreads to one or both kidneys.
Correct Answer is A
Explanation
Choice A rationale
In a client with Addison’s disease, the nurse should anticipate a serum electrolyte imbalance characterized by a serum potassium level of 6 mEq/L. Addison’s disease, also known as primary adrenal insufficiency, occurs when the adrenal glands do not produce enough cortisol and/or aldosterone. This can lead to hyperkalemia, or high levels of potassium in the blood.
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