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A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder.

Admitting diagnosis

acute hypothyroid disorder

Physician order

Synthroid 0.1 mg po daily

The receiving medical- surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply

cold intolerance

depression dry skin

weakness and fatigue

constipation

mental alertness

Question Solution

Correct Answer : A,B,C,D

A. Cold intolerance: Patients with hypothyroidism often have difficulty regulating body temperature, leading to a heightened sensitivity to cold.

B. Depression: Hypothyroidism can affect mood and cognitive function, often leading to symptoms of depression.

C. Weakness and fatigue: Low thyroid hormone levels can cause significant fatigue and muscle weakness due to a slower metabolism.

D. Constipation: A slowed metabolism can also affect gastrointestinal motility, resulting in constipation.

E. Mental alertness: This is typically not expected in hypothyroid patients. In fact, they may experience cognitive impairments, memory issues, or slowed thinking rather than mental alertness.

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A. Conjunctivitis B. Cataract C. Glaucoma D. Macular degeneration

Correct Answer is A

Explanation

A. This is the correct answer as conjunctivitis, commonly known as pink eye, is characterized by redness, swelling, and discharge from the eye, which is likely what the image shows.

B. Cataracts typically present as clouding of the lens of the eye, leading to blurred vision but do not present with redness or discharge like conjunctivitis.

C. This condition often involves increased intraocular pressure and can lead to vision loss, but it does not usually cause the symptoms depicted in the image of conjunctivitis.

D. This is primarily associated with central vision loss and does not produce the external symptoms of redness or discharge typical of conjunctivitis.

A. The nurse will simultaneously touch the client in the same area on both sides of the body, and the client will identify where the touch occurred. B. The nurse will briefly touch the client, and the client will need to identify where the touch occurred. C. Client will close their eyes and identify what number the nurse writes in the palm of the client's hand with a blunt-ended object. D. The client is to identify the numbers of points felt when the nurse touches the client with the ends of two applicators at the same time.

Correct Answer is C

Explanation

A. This description relates more to a sensory discrimination test, not graphesthesia.

B. This option does not accurately describe the graphesthesia test, which involves identifying shapes or numbers rather than just touch location.

C. In the graphesthesia test, the client closes their eyes while the nurse uses a blunt object to write a number or shape in the client's palm, and the client must identify what was written. This assesses the ability to recognize letters or numbers drawn on the skin.

D. This option describes a two-point discrimination test rather than graphesthesia, which focuses on identifying drawn shapes or numbers.

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Correct Answer is A

Explanation

Correct Answer is C

Explanation

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Which abnormality is depicted in the image below?

Correct Answer is A

Explanation

A nurse is precepting a nursing student. The nurse explains to the nursing student how you would perform the graphesthesia test on a client. What is the correct way to perform this test?

Correct Answer is C

Explanation

Which shape should the nurse expect a client's chest to be when assessing a client who has COPD?

The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, [normal range: 7.35-7.45] Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45] HCO3- of 20 mEq/L (20 mmol/L), [normal range: 22-26] Which condition would the nurse analyze these results to indicate?

A nurse is caring for a client and observes that the client's urine is cloudy, has an unpleasant odor, and contains hematuria. The nurse should recognize that these findings are associated with which urinary problem?

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Which lung sounds are expected? (Select all that apply.)

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