NUR 201 FINAL QUESTIONS WITH COMPLETE
SOLUTIONS
A nurse in a provider's office is assessing a client who has
hypothyroidism and recently began treatment with thyroid
hormone replacement therapy. Which of the following findings
should indicate to the nurse that the client might need a decrease
in the dosage of the medication?
A. hand tremors
B. bradycardia
C. pallor
D. slow speech Correct Answers A. Hand tremors are
manifestation of hyperthyroidism that can result from thyroid
hormone replacement therapy, should be reported to decrease
dose of med.
Bradycardia, pallor, and slow speech are expected findings of
hypothyroidism and indicate the need for continued thyroid
hormone replacement.
A nurse in a provider's office is planning care for a new
diagnosis of Graves' disease and a new prescription for
methimazole. Which of the following interventions should the
nurse include in the plan of care? SATA.
A. monitor CBC
B. monitor triiodothyronine (T3)
C. instruct the client to increase consumption of shellfish
D. advise the client to take the medication at the same time
every day
E. inform the client that an adverse effect of this medication is
iodine toxicity Correct Answers A,B,D. Methimazole can cause
different hematologic effects, reduces thyroid hormone
,production, and should be taken at same time every day to
maintain blood levels.
Methimazole reduces thyroid hormone production by blocking
iodine, advise to limit iodine containing foods. Iodine toxicity is
adverse effect of potassium iodide solution.
A nurse in a provider's office is reviewing lab results of a client
who is being evaluated for secondary hypothyroidism. Which of
the following lab findings is expected for a client who has this
condition?
A. elevated serum T4
B. decreased serum T3
C. elevated serum thyroid stimulating hormone
D. Decreased serum cholesterol Correct Answers B. Decreased
serum T3 is expected with hypothyroidism.
Decreased serum T4, decreased thyroid stimulating hormone
level, and elevated cholesterol are expected findings with
hypothyroidism.
A nurse in a provider's office is reviewing the health record of a
client who is being evaluated for Graves' disease. The nurse
should identify that which of the following laboratory results is
an expected finding?
A. decreased thyrotropin receptor antibodies
B. decreased thyroid-stimulating hormone (TSH)
C. decreased free thyroxine index
D. decreased triiodothronine Correct Answers B. In the
presence of Graves' disease, low TSH is an expected finding.
The pituitary gland decreases the production of TSH when
thyroid hormone levels are elevated.
, In Graves' disease, elevated thyrotropin receptor antibodies,
elevated free thyroxine index, and elevated triiodothyronine are
expected findings.
A nurse in an ICU is planning care for a client who has
myxedema coma. Which of the following actions should the
nurse include? SATA.
A. observe cardiac monitor for dysrhythmias
B. observe for evidence of UTI
C. initiate IV fluids using 0.9% sodium chloride
D. administer a levothyroxine IV bolus
E. provide warmth using a heating pad Correct Answers
A,B,C,D. Client who has myxedema can have flat or inverted T
waves as well as ST deviations. An infection can precipitate
myxedema coma. Hyponatremia is expected finding of
myxedema coma. Myxedema coma is a severe complication of
hypothyroidism that if left untreated can lead to coma or death,
levothyroxine is administered IV bolus to treat. Nurse should
provide warmth with blankets not electric heating devices.
A nurse is assessing a client who has advanced cirrhosis. The
nurse should identify which of the following findings as
indicators of hepatic encephalopathy? SATA.
A. anorexia
B. change in orientation
C. asterixis
D. ascites
E. fetor hepaticus Correct Answers B,C,E. Change in
orientation is expected in advanced cirrhosis. Asterixis, coarse
tremor of the wrists and fingers, is a late complicated expected.
Fetor hepaticus, a fruity breath odor, is expected.
SOLUTIONS
A nurse in a provider's office is assessing a client who has
hypothyroidism and recently began treatment with thyroid
hormone replacement therapy. Which of the following findings
should indicate to the nurse that the client might need a decrease
in the dosage of the medication?
A. hand tremors
B. bradycardia
C. pallor
D. slow speech Correct Answers A. Hand tremors are
manifestation of hyperthyroidism that can result from thyroid
hormone replacement therapy, should be reported to decrease
dose of med.
Bradycardia, pallor, and slow speech are expected findings of
hypothyroidism and indicate the need for continued thyroid
hormone replacement.
A nurse in a provider's office is planning care for a new
diagnosis of Graves' disease and a new prescription for
methimazole. Which of the following interventions should the
nurse include in the plan of care? SATA.
A. monitor CBC
B. monitor triiodothyronine (T3)
C. instruct the client to increase consumption of shellfish
D. advise the client to take the medication at the same time
every day
E. inform the client that an adverse effect of this medication is
iodine toxicity Correct Answers A,B,D. Methimazole can cause
different hematologic effects, reduces thyroid hormone
,production, and should be taken at same time every day to
maintain blood levels.
Methimazole reduces thyroid hormone production by blocking
iodine, advise to limit iodine containing foods. Iodine toxicity is
adverse effect of potassium iodide solution.
A nurse in a provider's office is reviewing lab results of a client
who is being evaluated for secondary hypothyroidism. Which of
the following lab findings is expected for a client who has this
condition?
A. elevated serum T4
B. decreased serum T3
C. elevated serum thyroid stimulating hormone
D. Decreased serum cholesterol Correct Answers B. Decreased
serum T3 is expected with hypothyroidism.
Decreased serum T4, decreased thyroid stimulating hormone
level, and elevated cholesterol are expected findings with
hypothyroidism.
A nurse in a provider's office is reviewing the health record of a
client who is being evaluated for Graves' disease. The nurse
should identify that which of the following laboratory results is
an expected finding?
A. decreased thyrotropin receptor antibodies
B. decreased thyroid-stimulating hormone (TSH)
C. decreased free thyroxine index
D. decreased triiodothronine Correct Answers B. In the
presence of Graves' disease, low TSH is an expected finding.
The pituitary gland decreases the production of TSH when
thyroid hormone levels are elevated.
, In Graves' disease, elevated thyrotropin receptor antibodies,
elevated free thyroxine index, and elevated triiodothyronine are
expected findings.
A nurse in an ICU is planning care for a client who has
myxedema coma. Which of the following actions should the
nurse include? SATA.
A. observe cardiac monitor for dysrhythmias
B. observe for evidence of UTI
C. initiate IV fluids using 0.9% sodium chloride
D. administer a levothyroxine IV bolus
E. provide warmth using a heating pad Correct Answers
A,B,C,D. Client who has myxedema can have flat or inverted T
waves as well as ST deviations. An infection can precipitate
myxedema coma. Hyponatremia is expected finding of
myxedema coma. Myxedema coma is a severe complication of
hypothyroidism that if left untreated can lead to coma or death,
levothyroxine is administered IV bolus to treat. Nurse should
provide warmth with blankets not electric heating devices.
A nurse is assessing a client who has advanced cirrhosis. The
nurse should identify which of the following findings as
indicators of hepatic encephalopathy? SATA.
A. anorexia
B. change in orientation
C. asterixis
D. ascites
E. fetor hepaticus Correct Answers B,C,E. Change in
orientation is expected in advanced cirrhosis. Asterixis, coarse
tremor of the wrists and fingers, is a late complicated expected.
Fetor hepaticus, a fruity breath odor, is expected.
