The nurse is planning health teaching for a client starting on levothyroxine. What health teaching about this drug would the nurse include?
a. The need to take the drug when the client feels fatigued and weak.
b. The need to report chest pain and dyspnea when starting the drug.
c. The need to ch...
NURS 408-Endocrine questions with correct answers
The nurse is planning health teaching for a client starting on
levothyroxine. What health teaching about this drug would the nurse
include?
a. The need to take the drug when the client feels fatigued and weak.
b. The need to report chest pain and dyspnea when starting the drug.
c. The need to check blood pressure and pulse every day.
d. The need to rotate injection sites when giving self the drug. Correct
Answer-b. The need to report chest pain and dyspnea when starting the
drug.
A nurse assesses a client who is recovering from a subtotal
thyroidectomy and observes the development of stridor. What is the
*priority* action for the nurse to take?
a. Apply oxygen via nasal cannula at 2 L/min.
b. Document the finding and assess the client hourly.
c. Place the client in high-Fowler position in the bed.
d. Contact the Rapid Response Team and prepare for intubation. Correct
Answer-d. Contact the Rapid Response Team and prepare for intubation.
A nurse assesses a client who is recovering from a subtotal
thyroidectomy. On the first postoperative day before discharge, the
client states, "I feel numbness and tingling around my mouth." What
action does the nurse take?
a. Offer mouth care.
b. Loosen the dressing.
,c. Assess for muscle twitching.
d. Ask the client orientation questions. Correct Answer-c. Assess for
muscle twitching.
A nurse assesses a client on the medical-surgical unit. Which statement
made by the client alerts the nurse to assess the patient for
hypothyroidism?
a. "My sister has thyroid problems."
b. "I seem to feel the heat more than other people."
c. "Food just doesn't taste good without a lot of salt."
d. "I am always tired, even with 12 hours of sleep." Correct Answer-d. "I
am always tired, even with 12 hours of sleep."
A nurse cares for a client who presents with bradycardia secondary to
hypothyroidism. Which medication does the nurse prepare to
administer?
a. Atropine sulfate
b. Levothyroxine
c. Propranolol
d. Epinephrine Correct Answer-b. levothyroxine
A nurse plans care for a client with hypothyroidism. Which priority
problem does the nurse address first for this client?
a. Heat intolerance
b. Body image problems
,c. Depression and withdrawal
d. Obesity and water retention Correct Answer-c. Depression and
withdrawal
A nurse assesses a client who is prescribed levothyroxine for
hypothyroidism. Which assessment finding alerts the nurse that drug
therapy is effective?
a. Thirst is recognized and fluid intake is appropriate.
b. Weight has been the same for 3 weeks.
c. Total white blood cell count is 6000 cells/mm3
(6 × 109/L).
d. Heart rate is 76 beats/min and regular. Correct Answer-d. heart rate is
76BPM and regular
A nurse cares for a client who has hypothyroidism as a result of
Hashimoto thyroiditis. The client asks, "How long will I need to take
this thyroid medication?" How would the nurse respond?
a. "You will need to take the thyroid medication until the goiter is
completely gone."
b. "Thyroiditis is cured with antibiotics. Then you won't need thyroid
medication."
c. "You'll need thyroid pills for life because your thyroid won't start
working again."
d. "When blood tests indicate normal thyroid function, you can stop the
medication." Correct Answer-c. "You'll need thyroid pills for life
because your thyroid won't start working again."
, The nurse is caring for a client who is starting on propylthiouracil for
hyperthyroidism. What statement by the client indicates a need for
*further teaching*?
a. "I will let my provider know if I have weight gain and cold
intolerance."
b. "I will let my provider know if I have a metallic taste or stomach
upset."
c. "I will avoid crowds and other people who have infection."
d. "I am aware that if the drug changes the color of my urine, I should
stop it." Correct Answer-b. "I will let my provider know if I have a
metallic taste or stomach upset."
(Rationale: this is not a known side effect of propylthiouracil)
A nurse plans care for a client with hyperparathyroidism. Which
intervention does the nurse include in this client's plan of care?
a. Use a lift sheet to assist the client with position changes in bed.
b. Ask the client to ambulate in the hallway twice a day.
c. Provide the client with a soft-bristled toothbrush for oral care.
d. Instruct the assistive personnel to strain the patient's urine for stones.
Correct Answer-a. use a lift sheet to assist the client with position
changes in bed
(Rationale: hyperparathyroidism causes calcium resorption)
While assessing a client with Graves disease, the nurse notes that the
client's temperature has risen 1° F (1° C). What does the nurse do first?
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