The client's presenting vital signs: Temperature: Investigate the client's use of over the counter
96.0° F (36.0° C)Pulse: 52 beats/minute (OTC) multivitamin and herbal products.
Respirations: 18 breaths/minute Blood pressure:
140/80 mmHg Given the initial history and vital Find out if the client has ever had a reaction to a
signs, what other questions should the nurse bee sting.
ask? (Select all that apply. One, some, or all
options may be correct.)
Based on the client's history and presenting
"Have you had any changes in your bowel symptoms, which additional diagnostic tests does
habits?" the nurse anticipate the HCP to order?(Select all
"Have you noticed an increase in urinary that apply. One, some, or all options may be
frequency?" correct.)
"Do you still feel sleepy when you wake up in the
mornings despite getting a good night's sleep?" CBC with differential.
"Have you noticed any changes in your hair or Blood Chemistries.
nails?" TSH and free T4.
"Do you think your weight gain is because you Chest X-ray (CXR).
eat too much?" - ANSWER -"Have you had Arterial blood gases (ABG's). - ANSWER -
any changes in your bowel habits?" CBC with differential.
"Do you still feel sleepy when you wake up in the Blood Chemistries.
mornings despite getting a good night's sleep?"
TSH and free T4.
"Have you noticed any changes in your hair or
nails?"
Based on the health care provider's (HCP)
assessment and interpretation of the diagnostics,
The client has signed the consent for the the client is diagnosed with hypothyroidism.
radioactive iodine uptake test. What are the most Which other lab should be monitored after the
important assessments for the nurse to obtain diagnosis of hypothyroidism is confirmed? -
prior to the test? (Select all that apply. One, ANSWER -Triglycerides and cholesterol.
some, or all options may be correct.)
Ask if the client has been taking any OTC The client asks the nurse how she got this
medications such as cough syrups? disease. Which explanation by the nurse is
Determine if the client has eaten in the past 4 accurate? - ANSWER -An autoimmune
hours. dysfunction causes thyroid dysfunction.
Investigate the client's use of over the counter
(OTC) multivitamin and herbal products.
Find out if the client has ever had a reaction to a Which symptoms are the client with
bee sting. hypothyroidism most likely to exhibit? (Select all
Assess the client's history for allergic reaction to that apply. One, some, or all options may be
peanuts. - ANSWER -Ask if the client has correct.)
been taking any OTC medications such as cough
syrups? Tachycardia and palpitations.
Somnolence and fatigue.
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