NURS 215 EXAM 3 ACTUAL EXAM
COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
A client who has just undergone a thyroidectomy is
experiencing high fever, tachycardia, and extreme
restlessness. The nurse would interpret these
manifestations as: - ....ANSWER...Thyroid crisis
The nurse is performing an assessment for a client
who has hyperthyroidism that is untreated. When
obtaining vital signs, what is the expected finding? -
....ANSWER...Heart rate 110 and bounding
Which of the following clinical manifestations lead
the health care worker to suspect the client is at the
end-stage expression of hypothyroidism? A client:
Select all that apply. - ....ANSWER...• Who takes
analgesics for chronic pain that goes into a coma
,• Brought to the emergency department with
hypothermia who presents with low serum sodium
levels
A client is to have a serum thyroxine and thyroid
stimulating laboratory test performed to assess the
baseline status of the hypothalamic-pituitary target
cell hormones. When educating the client about the
laboratory tests, when would the the nurse inform
him the test should be obtained? -
....ANSWER...Before 0800
Before 0800 - ....ANSWER...Increased levels of ACTH
Congenital adrenal hyperplasia is a congenital
disorder in which a deficiency exists in any of the
enzymes necessary for the synthesis of cortisol.
Infants of both sexes are affected, although boys are
not diagnosed at birth unless of enlarged genitalia.
Female infants often have ambiguous genitalia
because of the oversecretion of adrenal androgens.
What are the manifestations of the ambiguous
genitalia caused by congenital adrenal hyperplasia?
- ....ANSWER...Enlarged clitoris, fused labia, and
urogenital sinus
,Which disorder is a result of excess cortisol? -
....ANSWER...Cushing syndrome
A client with severe hypothyroidism is presently
experiencing hypothermia. What nursing intervention
is a priority in the care of this client? -
....ANSWER...Slow rewarming of the client to prevent
vasodilation and vascular collapse
A client with Graves' disease has opthalmopathy and
asks the nurse if the eyes will stay like this forever.
What is the best response by the nurse? -
....ANSWER..."With treatment of the hyperthyroid
state, the opthalmopathy usually tends to stabilize."
The nurse is providing education for a client
diagnosed with hypothyroidism. What information
about diet should the nurse be sure to include in this
information? - ....ANSWER...The client should
maintain a low cholesterol diet.
The health care provider is teaching a client about
the metabolic effect of cortisol. The most appropriate
information to provide would be: -
....ANSWER...Breakdown of proteins and fats
, When the nurse is performing a health history for a
client who is being admitted for hyperthyroidism,
what symptoms does the client report that the nurse
would find associated with this disorder? -
....ANSWER...Increase in appetite
A client with bipolar disorder has developed
hypothyroidism with a goiter. When the nurse
obtains a medication history, which medication taken
by the client does the nurse understand may cause
this disorder? - ....ANSWER...Lithium carbonate
Which client does the nurse recognize is at the most
risk for the development of subacute thyroiditis? -
....ANSWER...A 32-year-old postpartum client
The nurse is preparing a client for a test that will
measure negative feedback suppression of ACTH.
Which medication will the nurse administer in
conjunction for this test? -
....ANSWER...Dexamethasone
A nurse is assessing an elderly woman diagnosed
with chronic hypothyroidism who has developed
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