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A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

A.

Constipation

B.

Sensitivity to cold

C.

Weight gain of 4.5 kg (10 lbs) in 3 weeks

D.

Frequent mood changes

Answer and Explanation

The Correct Answer is D

Choice A Reason:

 

Constipation is not typically associated with hyperthyroidism. Hyperthyroidism usually speeds up the body’s metabolism, leading to symptoms like increased bowel movements or diarrhea rather than constipation.

 

Choice B Reason:

 

Sensitivity to cold is more commonly associated with hypothyroidism, where the body’s metabolism slows down. In hyperthyroidism, patients often experience heat intolerance due to an increased metabolic rate.

 

Choice C Reason:

 

Weight gain of 4.5 kg (10 lbs) in 3 weeks is also more indicative of hypothyroidism. Hyperthyroidism generally causes weight loss despite an increased appetite because of the accelerated metabolism.

 

Choice D Reason:

 

Frequent mood changes are a common symptom of hyperthyroidism. The excess thyroid hormones can affect the nervous system, leading to symptoms such as anxiety, irritability, and mood swings.

 


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View Related questions

Correct Answer is B

Explanation

Choice A reason:

Clean clothing is important for comfort and hygiene during a disaster, but it is not typically considered an essential item for a basic disaster preparedness kit. Essential items focus on survival needs such as food, water, and medical supplies.

Choice B reason:

Personal identification is crucial in a disaster situation. It helps in verifying identity, accessing services, and reuniting with family members. Important documents such as identification cards, insurance policies, and bank records should be included in a waterproof container.

Choice C reason:

The recommendation is to have one gallon of water per person per day for at least three days, which totals three gallons, not quarts. Water is essential for drinking and sanitation.

Choice D reason:

Matches can be useful for starting fires for warmth or cooking, but they are not considered a primary necessity in a basic disaster preparedness kit. More critical items include food, water, and medical supplies.

Choice E reason:

Prescription medications are essential for individuals who rely on them for chronic conditions. Having an adequate supply of necessary medications can be life-saving during a disaster when access to pharmacies may be limited.

Correct Answer is A

Explanation

Choice A reason:

The first step in removing an NG tube is to verify the provider’s prescription to discontinue the tube. This ensures that the removal is authorized and appropriate for the client’s current condition.

Choice B reason:

Disconnecting the tube from the wall suction is an important step, but it should be done after verifying the provider’s prescription. This step prevents any suction-related complications during the removal process.

Choice C reason:

Performing hand hygiene is crucial to prevent infection, but it is not the first step. Hand hygiene should be performed after verifying the provider’s prescription and before touching the client or any equipment.

Choice D reason:

Providing mouth care to the client is important for comfort and hygiene, but it is not the first step in the process of removing an NG tube. This can be done after the tube has been safely removed.

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