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Med-Surg II HESI Exam - set one Questions with Correct Solutions (Latest Update 2024)
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Med-Surg II HESI Exam - set one Questions with Correct Solutions (Latest Update 2024)
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Med-Surg II HESI Exam - set one Questionswith Correct Solutions (Latest Update 2024)
The nurse is completing a health assessment of a 42-year-old
female with suspected Graves' Disease. The nurse should
assess this client for:
1. anorexia
2. tachycardia
3. weight gain
4. cold skin - Correct Answer ✅2. tachycardia
Graves' disease, the most common type of thyrotoxicosis, is a
state of hypermetabolism. The increased metabolic rate
generates heat and produces tachycardia and fine muscle
tremors. Anorexia is associated with hypothyroidism. Loss of
weight, despite a good appetite and adequate caloric intake,
is a common feature of hyperthyroidism. Cold skin is
associated with hypothyroidism.
CN: Physiological adaptation; CL: Analyze
,Med-Surg II HESI Exam - set one Questions
with Correct Solutions (Latest Update 2024)
When conducting a health history with a female client with
thyrotoxicosis, the nurse should ask about which of the
following changes in the menstrual cycle?
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia - Correct Answer ✅3. oligomenorrhea
A change in the menstrual interval, diminished menstrual
flow (oligomenorrhea), or even the absence of menstruation
(amenorrhea) may result from the hormonal imbalances of
thyrotoxicosis. Oligomenorrhea in women and decreased
libido and impotence in men are common features of
thyrotoxicosis. Dysmenorrhea is painful menstruation.
Metrorrhagia, blood loss between menstrual periods, is a
symptom of hypothyroidism. Menorrhagia, excessive bleeding
during menstrual periods, is a symptom of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
,Med-Surg II HESI Exam - set one Questions
with Correct Solutions (Latest Update 2024)
A 34-year-old female is diagnosed with hypothyroidism. The
nurse should assess the client for which of the following?
(Select all that apply.)
1. rapid pulse
2. decreased energy and fatigue
3. weight gain of 10 lbs (4.5 kg)
4. fine, thin hair with hair loss
5. constipation
6. menorrhagia. - Correct Answer ✅2. decreased energy
and fatigue, 3. weight gain of 10 lbs (4.5 kg), 5. constipation,
6. menorrhagia
Clients with hypothyroidism exhibit symptoms indicating a
lack of thyroid hormone. Bradycardia, decreased energy and
lethargy, memory problems, weight gain, coarse hair,
constipation, and menorrhagia are common signs and
symptoms of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
, Med-Surg II HESI Exam - set one Questions
with Correct Solutions (Latest Update 2024)
Propylthiouracil (PTU) is prescribed for a client with Graves'
disease. The nurse should teach the client to immediately
report which of the following?
1. sore throat
2. painful, excessive menstruation
3. constipation
4. increased urine output - Correct Answer ✅1. sore throat
The most serious adverse effects of PTU are leukopenia and
agranulocytosis, which usually occur within the first 3 months
of treatment. The client should be taught to promptly report
to the health care provider signs and symptoms of infection,
such as a sore throat and fever. Clients having a sore throat
and fever should have an immediate white blood cell count
and differential performed, and the drug must be withheld
until
the results are obtained. Painful menstruation, constipation,
and increased urine output are not associated with PTU
therapy.
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