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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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A patient has a free T4 level of 0.6 in a free T3 of 220. The patient asked
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the nurse what these laboratory values mean. How will the nurse resp
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a. we will need to obtain a TSH level to better evaluate your diagnosis
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b. these results suggest you have hyperthyroidism
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c. we will need to obtain a total T3 and total T4 to know for sure
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d. these values indicate you may have grave’s disease
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• A patient is admitted to the hospital and will begin taking levothyroxin
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(Synthroid). The nurse learns of the patient also takes warfarin (Coumadin).
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The nurse will notify the provider to discuss what?
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a. increasing the warfarin dose
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b. reducing the warfarin dose
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c. decreasing the levothyroxine dose
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d. increasing the levothyroxine dose
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• A nurse is teaching a patient who will begin taking methimazole (Tapazole)
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for Graves’ disease about the medication. Which statement by the patient
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indicates understanding of the teaching?
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a. I must take with food every morning to aid and absorption
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b. it is safe to get pregnant while taking this medication
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c. because of the risk for liver toxicity, I will need frequent liver function
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tests
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d. I should report a sore throat or fever to my provider if either occurs
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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A nurse obtaining an admission history on a adult patient Notes that the
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patient has a heart rate of 62 bpm, a blood pressure of 105/62, and a
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temperature of 96.2°F. The patient appears pale and complains of always
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feeling cold and tired. The nurse will contact the provider to discuss test for
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what condition?
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a. Plummer’s disease
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b. Hypothyroidism
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c. Cretinism
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d. Grave’s Disease
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• A nurse caring for a patient notes that the patient has a temperature of
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104°F in a heart rate of 110 bpm. The patient skin is warm and moist, and
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the patient complains that the room is too warm. Patient appears nervous
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and has protuberant eyes. The nurse will contact the provider to discuss
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a. Cretinism
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b. Myedema
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c. Graves’ disease
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d. Plummer’s Disease
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• Which mineral is needed for thyroid stimulating hormone (TSH) to
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stimulate the secretion of thyroid hormone (TH)?
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a. zinc
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b. Iodine
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c. copper
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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d. iron
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What effect does hyperphosphatemia have on other electrolytes
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a. Decreases serum magnesium
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b. increases serum calcium
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c. increases serum
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magnesium d. decreases
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serum calcium
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• Which hormone is involved in the regulation of serum calcium levels?
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a. Thyroxine (T 4 )
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b. Adrenocorticotropic hormone (ACTH)
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c. Triiodothyronine (T3)
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d. Parathyroid hormone
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A patient with hypothyroidism begins taking PO Levothyroxine
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(Synthroid). The nurse assessed as a patient at the beginning of the shift
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and notes a heart rate of 62 bpm and a temperature of 92.7°F. The patient
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is lethargic and difficult to arouse. The nurse will contact the provider to
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request an order for which drug?
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a. Methimazole
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b. Increased dose of PO levothyroxine
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c. intravenous levothyroxin
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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d. beta blocker
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A patient has been taking levothyroxine for several years and reports
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that “For the past two weeks, the drug doesn’t seem to work as well as
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before”. What will the nurse do?
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a. Expect the patient to have an elevated temperature and tachycardia
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b. Ask the patient when the prescription was last refilled
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c. tell the patient to try taking the medication with food
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d. suggested the patient start taking calcium supplements
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• The nurse is caring for a pregnant patient recently diagnosed with
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hypothyroidism. Patient tells the nurse she does not want to take
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medications while she is pregnant. What will the nurse explain to this
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patient?
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a. neurologic deficits in the fetus can occur if the condition is not treated
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b. no danger to the fetus exists until the 3rd trimester
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c. treatment is required only if the patient is experiencing symptoms
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d. hypothyroidism is a normal effect of pregnancy and usually is of no
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consequence
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• The nurse prepares a patient with Graves’ disease for radioactive
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iodine therapy. Which statement made by the patient best
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demonstrates understanding of this therapy?
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a. I will have to isolate myself from my family for two weeks so that I
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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A patient has a free T4 level of 0.6 in a free T3 of 220. The patient asked
•
la
tz
sh
the nurse what these laboratory values mean. How will the nurse resp
Sp
ne
a. we will need to obtain a TSH level to better evaluate your diagnosis
la
tz
b. these results suggest you have hyperthyroidism
sh
Sp
ne
c. we will need to obtain a total T3 and total T4 to know for sure
la
tz
d. these values indicate you may have grave’s disease
sh
Sp
ne
la
• A patient is admitted to the hospital and will begin taking levothyroxin
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(Synthroid). The nurse learns of the patient also takes warfarin (Coumadin).
ne
la
The nurse will notify the provider to discuss what?
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sh
Sp
a. increasing the warfarin dose
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b. reducing the warfarin dose
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c. decreasing the levothyroxine dose
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d. increasing the levothyroxine dose
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tz
sh
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• A nurse is teaching a patient who will begin taking methimazole (Tapazole)
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for Graves’ disease about the medication. Which statement by the patient
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indicates understanding of the teaching?
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a. I must take with food every morning to aid and absorption
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Sp
b. it is safe to get pregnant while taking this medication
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la
c. because of the risk for liver toxicity, I will need frequent liver function
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tests
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d. I should report a sore throat or fever to my provider if either occurs
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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A nurse obtaining an admission history on a adult patient Notes that the
•
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sh
patient has a heart rate of 62 bpm, a blood pressure of 105/62, and a
Sp
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temperature of 96.2°F. The patient appears pale and complains of always
la
tz
feeling cold and tired. The nurse will contact the provider to discuss test for
sh
Sp
ne
what condition?
la
tz
a. Plummer’s disease
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b. Hypothyroidism
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c. Cretinism
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d. Grave’s Disease
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la
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Sp
• A nurse caring for a patient notes that the patient has a temperature of
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104°F in a heart rate of 110 bpm. The patient skin is warm and moist, and
la
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sh
the patient complains that the room is too warm. Patient appears nervous
Sp
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and has protuberant eyes. The nurse will contact the provider to discuss
la
tz
a. Cretinism
sh
Sp
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b. Myedema
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c. Graves’ disease
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sh
Sp
d. Plummer’s Disease
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la
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sh
Sp
• Which mineral is needed for thyroid stimulating hormone (TSH) to
ne
la
stimulate the secretion of thyroid hormone (TH)?
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sh
Sp
a. zinc
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b. Iodine
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c. copper
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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Sp
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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d. iron
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What effect does hyperphosphatemia have on other electrolytes
la
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a. Decreases serum magnesium
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b. increases serum calcium
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c. increases serum
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magnesium d. decreases
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serum calcium
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sh
Sp
ne
la
• Which hormone is involved in the regulation of serum calcium levels?
tz
sh
Sp
a. Thyroxine (T 4 )
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b. Adrenocorticotropic hormone (ACTH)
la
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c. Triiodothyronine (T3)
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ne
d. Parathyroid hormone
la
tz
sh
Sp
ne
la
•
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A patient with hypothyroidism begins taking PO Levothyroxine
sh
Sp
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(Synthroid). The nurse assessed as a patient at the beginning of the shift
la
and notes a heart rate of 62 bpm and a temperature of 92.7°F. The patient
tz
sh
Sp
is lethargic and difficult to arouse. The nurse will contact the provider to
ne
la
request an order for which drug?
tz
sh
Sp
a. Methimazole
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b. Increased dose of PO levothyroxine
la
tz
sh
c. intravenous levothyroxin
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ne
NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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Sp
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NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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d. beta blocker
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sh
Sp
• ne
A patient has been taking levothyroxine for several years and reports
la
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that “For the past two weeks, the drug doesn’t seem to work as well as
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before”. What will the nurse do?
la
tz
a. Expect the patient to have an elevated temperature and tachycardia
sh
Sp
ne
b. Ask the patient when the prescription was last refilled
la
c. tell the patient to try taking the medication with food
tz
sh
Sp
d. suggested the patient start taking calcium supplements
ne
la
tz
sh
Sp
• The nurse is caring for a pregnant patient recently diagnosed with
ne
hypothyroidism. Patient tells the nurse she does not want to take
la
tz
sh
medications while she is pregnant. What will the nurse explain to this
Sp
ne
patient?
la
tz
a. neurologic deficits in the fetus can occur if the condition is not treated
sh
Sp
ne
b. no danger to the fetus exists until the 3rd trimester
la
tz
c. treatment is required only if the patient is experiencing symptoms
sh
Sp
d. hypothyroidism is a normal effect of pregnancy and usually is of no
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la
consequence
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sh
Sp
ne
la
• The nurse prepares a patient with Graves’ disease for radioactive
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sh
Sp
iodine therapy. Which statement made by the patient best
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demonstrates understanding of this therapy?
la
tz
sh
a. I will have to isolate myself from my family for two weeks so that I
Sp
ne
NUR 121 PATHO FINAL EXAM 1-4 Questions and
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Answers New Update 2022
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