Take full exam for free

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.

Free Nursing Test Bank

Take full exam free

View Related questions

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.

A. Facial drooping B. Frequent diarrhea C. Steady gait D. Vocal clarity

Correct Answer is A

Explanation

A. Facial drooping is a common symptom following a stroke, particularly if it affects areas of the brain responsible for facial movement.

B. Frequent diarrhea is not typically associated with stroke and may be related to other factors.

C. A steady gait is unlikely following a stroke, especially if the stroke has affected motor control or balance.

D. Vocal clarity can be affected after a stroke, but facial drooping is a more immediate and recognizable alteration in neurologic function.

Free Nursing Test Bank

Correct Answer is C

Explanation

Correct Answer is A

Explanation

Quick Links

Resources

Free Nursing Test Bank

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

A nurse is caring for a client who recently had a stroke. Which alteration in neurologic function should the nurse expect?

Correct Answer is A

Explanation

When a patient is unable to see objects at a distance, which term is used to document this finding?

Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a group of lesions larger than 0.5 cm, with an elevated area of psoriasis. This is an example of a:

A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which action should the nurse take?

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve III?

A nurse is assessing a client who is 6 months pregnant.Which findings should the nurse expect? (Select all four options that apply.)

A nurse has been assigned four patients, of which one of the patients has impaired immobility. Which complications should the nurse expect as a result of gout? (Select the four options that apply.)

A nurse is assessing a client's circulatory system. Which pulse site should the nurse avoid assessing bilaterally at the same time?

Quick Links

Resources