Med-Surg II HESI Exam - set one
Study online at https://quizlet.com/_jg1wsb
1. The nurse is completing a health assessment of a 2. tachycardia
42-year-old female with suspected Graves' Disease.
The nurse should assess this client for: Graves' disease, the most
common type of thyrotox-
1. anorexia icosis, is a state of hy-
2. tachycardia permetabolism. The in-
3. weight gain creased metabolic rate
4. cold skin generates heat and pro-
duces tachycardia and fine
muscle tremors. Anorex-
ia is associated with
hypothyroidism. Loss of
weight, despite a good
appetite and adequate
caloric intake, is a com-
mon feature of hyper-
thyroidism. Cold skin is
associated with hypothy-
roidism.
CN: Physiological adapta-
tion; CL: Analyze
2. When conducting a health history with a female client 3. oligomenorrhea
with thyrotoxicosis, the nurse should ask about which
of the following changes in the menstrual cycle? A change in the menstrual
interval, diminished men-
1. dysmenorrhea strual flow (oligomenor-
2. metrorrhagia rhea), or even the absence
3. oligomenorrhea of menstruation (amenor-
4. menorrhagia rhea) may result from the
hormonal imbalances of
, Med-Surg II HESI Exam - set one
Study online at https://quizlet.com/_jg1wsb
thyrotoxicosis. Oligomen-
orrhea in women and de-
creased libido and impo-
tence in men are com-
mon features of thyro-
toxicosis. Dysmenorrhea
is painful menstruation.
Metrorrhagia, blood loss
between menstrual peri-
ods, is a symptom of hy-
pothyroidism. Menorrha-
gia, excessive bleeding
during menstrual periods,
is a symptom of hypothy-
roidism.
CN: Physiological adapta-
tion; CL: Analyze
3. A 34-year-old female is diagnosed with hypothy- 2. decreased energy and
roidism. The nurse should assess the client for which fatigue, 3. weight gain of
of the following? (Select all that apply.) 10 lbs (4.5 kg), 5. consti-
pation, 6. menorrhagia
1. rapid pulse
2. decreased energy and fatigue Clients with hypothy-
3. weight gain of 10 lbs (4.5 kg) roidism exhibit symptoms
4. fine, thin hair with hair loss indicating a lack of thy-
5. constipation roid hormone. Brady-
6. menorrhagia. cardia, decreased ener-
gy and lethargy, memo-
ry problems, weight gain,
coarse hair, constipa-
, Med-Surg II HESI Exam - set one
Study online at https://quizlet.com/_jg1wsb
tion, and menorrhagia are
common signs and
symptoms of hypothy-
roidism.
CN: Physiological adapta-
tion; CL: Analyze
4. Propylthiouracil (PTU) is prescribed for a client with 1. sore throat
Graves' disease. The nurse should teach the client to
immediately report which of the following? The most serious ad-
verse effects of PTU are
1. sore throat leukopenia and agranulo-
2. painful, excessive menstruation cytosis, which usually oc-
3. constipation cur within the first 3
4. increased urine output months of treatment. The
client should be taught
to promptly report to the
health care provider signs
and symptoms of infec-
tion, such as a sore throat
and fever. Clients hav-
ing a sore throat and
fever should have an im-
mediate white blood cell
count and differential per-
formed, and the drug
must be withheld until
the results are ob-
tained. Painful menstrua-
tion, constipation, and in-
creased urine output are
, Med-Surg II HESI Exam - set one
Study online at https://quizlet.com/_jg1wsb
not associated with PTU
therapy.
CN: Pharmacological and
parenteral therapies; CL:
Synthesize
5. A client with thyrotoxicosis says to the nurse, "I am so 2. "Your behavior is
irritable. I am having caused by the excess thy-
problems at work because I lose my temper very eas- roid hormone in your sys-
ily." Which of the following responses by the nurse tem."
would give the client the most accurate explanation
of her behavior? A typical sign of thyrotox-
icosis is irritability caused
1. "Your behavior is caused by temporary confusion by the high levels of cir-
brought on by your illness." culating thyroid hormones
2. "Your behavior is caused by the excess thyroid hor- in the body. This symptom
mone in your system." decreases as the client re-
3. "Your behavior is caused by your worrying about the sponds to therapy. Thyro-
seriousness of your illness." toxicosis does not cause
4. "Your behavior is caused by the stress of trying to confusion. The client may
manage a career and cope with illness." be worried about her ill-
ness, and stress may in-
fluence her mood; howev-
er, irritability is a common
symptom of thyrotoxico-
sis and the client should
be informed of that fact
rather than blamed.
CN: Psychosocial integrity;
CL: Synthesize
Study online at https://quizlet.com/_jg1wsb
1. The nurse is completing a health assessment of a 2. tachycardia
42-year-old female with suspected Graves' Disease.
The nurse should assess this client for: Graves' disease, the most
common type of thyrotox-
1. anorexia icosis, is a state of hy-
2. tachycardia permetabolism. The in-
3. weight gain creased metabolic rate
4. cold skin generates heat and pro-
duces tachycardia and fine
muscle tremors. Anorex-
ia is associated with
hypothyroidism. Loss of
weight, despite a good
appetite and adequate
caloric intake, is a com-
mon feature of hyper-
thyroidism. Cold skin is
associated with hypothy-
roidism.
CN: Physiological adapta-
tion; CL: Analyze
2. When conducting a health history with a female client 3. oligomenorrhea
with thyrotoxicosis, the nurse should ask about which
of the following changes in the menstrual cycle? A change in the menstrual
interval, diminished men-
1. dysmenorrhea strual flow (oligomenor-
2. metrorrhagia rhea), or even the absence
3. oligomenorrhea of menstruation (amenor-
4. menorrhagia rhea) may result from the
hormonal imbalances of
, Med-Surg II HESI Exam - set one
Study online at https://quizlet.com/_jg1wsb
thyrotoxicosis. Oligomen-
orrhea in women and de-
creased libido and impo-
tence in men are com-
mon features of thyro-
toxicosis. Dysmenorrhea
is painful menstruation.
Metrorrhagia, blood loss
between menstrual peri-
ods, is a symptom of hy-
pothyroidism. Menorrha-
gia, excessive bleeding
during menstrual periods,
is a symptom of hypothy-
roidism.
CN: Physiological adapta-
tion; CL: Analyze
3. A 34-year-old female is diagnosed with hypothy- 2. decreased energy and
roidism. The nurse should assess the client for which fatigue, 3. weight gain of
of the following? (Select all that apply.) 10 lbs (4.5 kg), 5. consti-
pation, 6. menorrhagia
1. rapid pulse
2. decreased energy and fatigue Clients with hypothy-
3. weight gain of 10 lbs (4.5 kg) roidism exhibit symptoms
4. fine, thin hair with hair loss indicating a lack of thy-
5. constipation roid hormone. Brady-
6. menorrhagia. cardia, decreased ener-
gy and lethargy, memo-
ry problems, weight gain,
coarse hair, constipa-
, Med-Surg II HESI Exam - set one
Study online at https://quizlet.com/_jg1wsb
tion, and menorrhagia are
common signs and
symptoms of hypothy-
roidism.
CN: Physiological adapta-
tion; CL: Analyze
4. Propylthiouracil (PTU) is prescribed for a client with 1. sore throat
Graves' disease. The nurse should teach the client to
immediately report which of the following? The most serious ad-
verse effects of PTU are
1. sore throat leukopenia and agranulo-
2. painful, excessive menstruation cytosis, which usually oc-
3. constipation cur within the first 3
4. increased urine output months of treatment. The
client should be taught
to promptly report to the
health care provider signs
and symptoms of infec-
tion, such as a sore throat
and fever. Clients hav-
ing a sore throat and
fever should have an im-
mediate white blood cell
count and differential per-
formed, and the drug
must be withheld until
the results are ob-
tained. Painful menstrua-
tion, constipation, and in-
creased urine output are
, Med-Surg II HESI Exam - set one
Study online at https://quizlet.com/_jg1wsb
not associated with PTU
therapy.
CN: Pharmacological and
parenteral therapies; CL:
Synthesize
5. A client with thyrotoxicosis says to the nurse, "I am so 2. "Your behavior is
irritable. I am having caused by the excess thy-
problems at work because I lose my temper very eas- roid hormone in your sys-
ily." Which of the following responses by the nurse tem."
would give the client the most accurate explanation
of her behavior? A typical sign of thyrotox-
icosis is irritability caused
1. "Your behavior is caused by temporary confusion by the high levels of cir-
brought on by your illness." culating thyroid hormones
2. "Your behavior is caused by the excess thyroid hor- in the body. This symptom
mone in your system." decreases as the client re-
3. "Your behavior is caused by your worrying about the sponds to therapy. Thyro-
seriousness of your illness." toxicosis does not cause
4. "Your behavior is caused by the stress of trying to confusion. The client may
manage a career and cope with illness." be worried about her ill-
ness, and stress may in-
fluence her mood; howev-
er, irritability is a common
symptom of thyrotoxico-
sis and the client should
be informed of that fact
rather than blamed.
CN: Psychosocial integrity;
CL: Synthesize
