Med-Surg II HESI Test Bank Volume 2 Questions &
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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.
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
,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
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.
CN: Pharmacological and parenteral therapies; CL: Synthesize
,A client with thyrotoxicosis says to the nurse, "I am so irritable. I am having
problems at work because I lose my temper very easily." Which of the
following responses by the nurse would give the client the most accurate
explanation of her behavior?
1. "Your behavior is caused by temporary confusion brought on by your illness."
2. "Your behavior is caused by the excess thyroid hormone in your system."
3. "Your behavior is caused by your worrying about the seriousness of your
illness."
4. "Your behavior is caused by the stress of trying to manage a career and
cope with illness."
2. "Your behavior is caused by the excess thyroid hormone in your system."
A typical sign of thyrotoxicosis is irritability caused by the high levels of
circulating thyroid hormones in the body. This symptom decreases as the
client responds to
therapy. Thyrotoxicosis does not cause confusion. The client may be worried
about her
illness, and stress may influence her mood; however, irritability is a common
symptom of thyrotoxicosis and the client should be informed of that fact rather
than blamed.
CN: Psychosocial integrity; CL: Synthesize
, The nurse is evaluating a client with hyperthyroidism who is taking
Propylthiouracil (PTU) 100 mg/day in three divided doses for maintenance
therapy. Which of the following statements from the client indicates the
desired outcome of the drug?
1. "I have excess energy throughout the day."
2. "I am able to sleep and rest at night."
3. "I have lost weight since taking this medication."
4. "I do perspire throughout the entire day."
2. "I am able to sleep and rest at night."
PTU is a prototype of thioamide antithyroid drugs. It inhibits production of
thyroid hormones and peripheral conversion of T4 to the more active T3. A client
taking this
antithyroid drug should be able to sleep and rest well at night since the level of
thyroid hormones is reduced in the blood. Excess energy throughout the day,
loss of weight and perspiring through the day are symptoms of hyperthyroidism
indicating the drug has not produced its outcome.
CN: Pharmacological and parenteral therapies; CL: Evaluate.
Answers || Most Recent Exam Actual Complete Real
Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed Success!!
Newest Exam | Just Released 2026-2027
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.
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
,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
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.
CN: Pharmacological and parenteral therapies; CL: Synthesize
,A client with thyrotoxicosis says to the nurse, "I am so irritable. I am having
problems at work because I lose my temper very easily." Which of the
following responses by the nurse would give the client the most accurate
explanation of her behavior?
1. "Your behavior is caused by temporary confusion brought on by your illness."
2. "Your behavior is caused by the excess thyroid hormone in your system."
3. "Your behavior is caused by your worrying about the seriousness of your
illness."
4. "Your behavior is caused by the stress of trying to manage a career and
cope with illness."
2. "Your behavior is caused by the excess thyroid hormone in your system."
A typical sign of thyrotoxicosis is irritability caused by the high levels of
circulating thyroid hormones in the body. This symptom decreases as the
client responds to
therapy. Thyrotoxicosis does not cause confusion. The client may be worried
about her
illness, and stress may influence her mood; however, irritability is a common
symptom of thyrotoxicosis and the client should be informed of that fact rather
than blamed.
CN: Psychosocial integrity; CL: Synthesize
, The nurse is evaluating a client with hyperthyroidism who is taking
Propylthiouracil (PTU) 100 mg/day in three divided doses for maintenance
therapy. Which of the following statements from the client indicates the
desired outcome of the drug?
1. "I have excess energy throughout the day."
2. "I am able to sleep and rest at night."
3. "I have lost weight since taking this medication."
4. "I do perspire throughout the entire day."
2. "I am able to sleep and rest at night."
PTU is a prototype of thioamide antithyroid drugs. It inhibits production of
thyroid hormones and peripheral conversion of T4 to the more active T3. A client
taking this
antithyroid drug should be able to sleep and rest well at night since the level of
thyroid hormones is reduced in the blood. Excess energy throughout the day,
loss of weight and perspiring through the day are symptoms of hyperthyroidism
indicating the drug has not produced its outcome.
CN: Pharmacological and parenteral therapies; CL: Evaluate.
