MCA II Exam 3|Brand New Expert
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Which type of hepatitis develops into a chronic form of the disease? select all that
apply.
a. hepatitis A
b. hepatitis B
c. hepatitis C
d. hepatitis D
e. hepatitis E - Answer✅✅B, C, D
Hepatitis B and C generally develop into chronic hepatitis. Hepatitis D is an
incomplete virus that can become chronic and is dependent on the presence of
hepatitis B to survive. Hepatitis A and E are acute, self-limiting infections that resolve
over time and do not develop with chronic hepatitis.
A nurse is providing postoperative care for a client who has begun taking
levothyroxine after undergoing a thyroidectomy. Which findings in the client may
indicate potential thyrotoxic crisis?
a. Elevated serum calcium
b. Sudden drop in pulse rate
c. Hypothermia and dry skin
,d. Rapid heartbeat and tremors - Answer✅✅d. Rapid heartbeat and tremors
Thyrotoxic crisis (thyroid storm) refers to a sudden and excessive release of thyroid
hormones, which causes pyrexia, tachycardia, and exaggerated symptoms of
thyrotoxicosis; surgery, infection, and ablation therapy can precipitate this life-
threatening condition. Hypercalcemia is not related to thyrotoxic crisis;
hypocalcemia results from accidental removal of the parathyroid glands. Tachycardia
is an increased, not decreased, heart rate, which occurs with thyrotoxic crisis
because of the sudden release of thyroid hormones; thyroid hormones increase the
basal metabolic rate. Fever, not hypothermia, and diaphoresis, not dry skin, occur
with thyrotoxic crisis because of the sudden release of thyroid hormones, which
increase the basal metabolic rate.h
Which questions would the nurse ask when assessing a client diagnosed with
acromegaly? select all that apply.
a. "have you noticed any changes to your vision?"
b. "have you ever been told that you snore loudly?"
c. "have you had any changes in your menstrual cycle?"
d. "have you noticed any chances to your bowel movements?"
e. "have you noted you consume excess amount of cruciferous vegetables?" -
Answer✅✅A, B, D
It is reasonable to ask a client with acromegaly if he or she has experienced changes
in his or her vision, because pressure on the optic nerve from a pituitary adenoma
can occur. some clients with acromegaly will develop sleep apnea, secondary to
upper airway narrowing and obstruction from increased amounts of pharyngeal soft
tissues. clients with acromegaly are at an increased risk of colorectal cancer. it is not
necessary to ask the client with acromegaly about her menstrual cycle; acromegaly is
the overgrowth of soft tissue and bone in the hands, feet, and face, and does not
affect the reproductive organs as some other excesses of tropic hormones do. intake
of cruciferous vegetables will not affect acromegaly; the goitrogens in these
vegetables contain thyroid-inhibiting substance and can lead to goiter if eaten in
excessive amounts.
The nurse is admitting a client with severe myxedema coma. Which interventions
would the nurse include in the plan of care? Select all that apply. One, some, or all
responses may be correct.
a. Administer intravenous (IV) levothyroxine.
b. Avoid use of corticosteroids.
c. Give IV normal saline.
d. Wait for laboratory results before treating.
e. Monitor blood pressure every 4 hours. - Answer✅✅A, C
myxedema coma is a major complication of poorly treated hypothyroidism.
interventions include administering IV levothyroxine. this promotes the return of
normal thyroid hormone levels. IV normal saline corrects dehydration.
corticosteriods are administered as part of the treatment. levothyroxine is initiated
, before obtaining laboratory results because waiting can cause death. the blood
pressure should be monitored hourly.
which clinical findings correspond with the secretion of antidiuretic hormone (ADH)?
select all that apply.
a. edema
b. polyuria
c. bradycardia
d. muscle cramps
e. hyponatremia - Answer✅✅D, E
muscle cramps occur when sodium level is less than 124 mEq/L and are caused by
osmotic fluid shift. ADH causes water retention, which dilutes serum electrolytes
such as sodium, with a resultant hyponatremia. edema is not usually seen in
syndrome of inappropriate ADH (SIADH) because water retention is not extracellular..
a decreased urine output occurs with SIADH because ADH causes reabsorption of
fluid in the kidney glomeruli. the increased fluid volume associated with SIADH
results in tachycardia, tachypnea and crackles.
A client with cirrhosis of the liver has a prolonged prothrombin time and a low
platelet count. A regular diet is prescribed. What should the nurse instruct the client
to do considering the client's condition?
a. Avoid foods high in phytonadione
b. Check the pulse several times a day.
c. Drink a glass of milk when taking aspirin.
d. Report signs of bleeding no matter how slight. - Answer✅✅d. Report signs of
bleeding no matter how slight.
One of the many functions of the liver is the manufacture of clotting factors; there is
interference in this process with cirrhosis of the liver, resulting in bleeding
tendencies. The storage of fat-soluble vitamins (A, D, E, and K), water-soluble
vitamins (B1, B2, folic acid, and cobalamin), and minerals (including iron) is
compromised in cirrhosis; therefore, these nutrients, including phytonadione, should
not be limited. Should the client bleed, the pulse rate may be increased, but it is not
necessary for the client to check the pulse rate several times daily. A client whose
prothrombin time is prolonged and platelet count is low should not be taking aspirin,
even with milk.
While assessing a postpartum client who is suspected of having a thyroid disorder,
the nurse suspects that the client has autoimmune thyroiditis. Which diagnostic
studies are most suitable for confirming the diagnosis?
a. Radioactive iodine uptake
b. computed tomography scan
c. magnetic resonance imaging
d. thyroid-stimulating hormone - Answer✅✅a. Radioactive iodine uptake
Exam Questions with 100% Correct
Clear Verified Answers| All Graded
A+| Latest Premium Update|Latest
Premium Update.
Which type of hepatitis develops into a chronic form of the disease? select all that
apply.
a. hepatitis A
b. hepatitis B
c. hepatitis C
d. hepatitis D
e. hepatitis E - Answer✅✅B, C, D
Hepatitis B and C generally develop into chronic hepatitis. Hepatitis D is an
incomplete virus that can become chronic and is dependent on the presence of
hepatitis B to survive. Hepatitis A and E are acute, self-limiting infections that resolve
over time and do not develop with chronic hepatitis.
A nurse is providing postoperative care for a client who has begun taking
levothyroxine after undergoing a thyroidectomy. Which findings in the client may
indicate potential thyrotoxic crisis?
a. Elevated serum calcium
b. Sudden drop in pulse rate
c. Hypothermia and dry skin
,d. Rapid heartbeat and tremors - Answer✅✅d. Rapid heartbeat and tremors
Thyrotoxic crisis (thyroid storm) refers to a sudden and excessive release of thyroid
hormones, which causes pyrexia, tachycardia, and exaggerated symptoms of
thyrotoxicosis; surgery, infection, and ablation therapy can precipitate this life-
threatening condition. Hypercalcemia is not related to thyrotoxic crisis;
hypocalcemia results from accidental removal of the parathyroid glands. Tachycardia
is an increased, not decreased, heart rate, which occurs with thyrotoxic crisis
because of the sudden release of thyroid hormones; thyroid hormones increase the
basal metabolic rate. Fever, not hypothermia, and diaphoresis, not dry skin, occur
with thyrotoxic crisis because of the sudden release of thyroid hormones, which
increase the basal metabolic rate.h
Which questions would the nurse ask when assessing a client diagnosed with
acromegaly? select all that apply.
a. "have you noticed any changes to your vision?"
b. "have you ever been told that you snore loudly?"
c. "have you had any changes in your menstrual cycle?"
d. "have you noticed any chances to your bowel movements?"
e. "have you noted you consume excess amount of cruciferous vegetables?" -
Answer✅✅A, B, D
It is reasonable to ask a client with acromegaly if he or she has experienced changes
in his or her vision, because pressure on the optic nerve from a pituitary adenoma
can occur. some clients with acromegaly will develop sleep apnea, secondary to
upper airway narrowing and obstruction from increased amounts of pharyngeal soft
tissues. clients with acromegaly are at an increased risk of colorectal cancer. it is not
necessary to ask the client with acromegaly about her menstrual cycle; acromegaly is
the overgrowth of soft tissue and bone in the hands, feet, and face, and does not
affect the reproductive organs as some other excesses of tropic hormones do. intake
of cruciferous vegetables will not affect acromegaly; the goitrogens in these
vegetables contain thyroid-inhibiting substance and can lead to goiter if eaten in
excessive amounts.
The nurse is admitting a client with severe myxedema coma. Which interventions
would the nurse include in the plan of care? Select all that apply. One, some, or all
responses may be correct.
a. Administer intravenous (IV) levothyroxine.
b. Avoid use of corticosteroids.
c. Give IV normal saline.
d. Wait for laboratory results before treating.
e. Monitor blood pressure every 4 hours. - Answer✅✅A, C
myxedema coma is a major complication of poorly treated hypothyroidism.
interventions include administering IV levothyroxine. this promotes the return of
normal thyroid hormone levels. IV normal saline corrects dehydration.
corticosteriods are administered as part of the treatment. levothyroxine is initiated
, before obtaining laboratory results because waiting can cause death. the blood
pressure should be monitored hourly.
which clinical findings correspond with the secretion of antidiuretic hormone (ADH)?
select all that apply.
a. edema
b. polyuria
c. bradycardia
d. muscle cramps
e. hyponatremia - Answer✅✅D, E
muscle cramps occur when sodium level is less than 124 mEq/L and are caused by
osmotic fluid shift. ADH causes water retention, which dilutes serum electrolytes
such as sodium, with a resultant hyponatremia. edema is not usually seen in
syndrome of inappropriate ADH (SIADH) because water retention is not extracellular..
a decreased urine output occurs with SIADH because ADH causes reabsorption of
fluid in the kidney glomeruli. the increased fluid volume associated with SIADH
results in tachycardia, tachypnea and crackles.
A client with cirrhosis of the liver has a prolonged prothrombin time and a low
platelet count. A regular diet is prescribed. What should the nurse instruct the client
to do considering the client's condition?
a. Avoid foods high in phytonadione
b. Check the pulse several times a day.
c. Drink a glass of milk when taking aspirin.
d. Report signs of bleeding no matter how slight. - Answer✅✅d. Report signs of
bleeding no matter how slight.
One of the many functions of the liver is the manufacture of clotting factors; there is
interference in this process with cirrhosis of the liver, resulting in bleeding
tendencies. The storage of fat-soluble vitamins (A, D, E, and K), water-soluble
vitamins (B1, B2, folic acid, and cobalamin), and minerals (including iron) is
compromised in cirrhosis; therefore, these nutrients, including phytonadione, should
not be limited. Should the client bleed, the pulse rate may be increased, but it is not
necessary for the client to check the pulse rate several times daily. A client whose
prothrombin time is prolonged and platelet count is low should not be taking aspirin,
even with milk.
While assessing a postpartum client who is suspected of having a thyroid disorder,
the nurse suspects that the client has autoimmune thyroiditis. Which diagnostic
studies are most suitable for confirming the diagnosis?
a. Radioactive iodine uptake
b. computed tomography scan
c. magnetic resonance imaging
d. thyroid-stimulating hormone - Answer✅✅a. Radioactive iodine uptake
