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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. The client who experienced numbness in the right arm that has resolved after several hours. B. The client who has worked in the beauty parlor providing pedicures and manicures C. The client with a fair skin complexion and blue eyes D. The client who smokes 20 packs of cigarettes daily for the past 15 years. E. The client who is a roofer and spends a lot of time outdoors participating in sports with complaints of blistering sunburns

Correct Answer is ["C","D","E"]

Explanation

A. Numbness in the right arm is not a risk factor for skin cancer; it is more related to neurological issues or circulation problems.

B. While working in a beauty parlor may involve exposure to certain chemicals, it is not a significant risk factor for skin cancer compared to other options.

C. A client with a fair skin complexion and blue eyes has a higher risk for skin cancer due to lower melanin levels, making them more susceptible to UV damage.

D. Smoking is primarily associated with lung cancer; however, it can also contribute to skin damage and increased risk for skin cancer, particularly squamous cell carcinoma.

E. A roofer who spends a lot of time outdoors and experiences blistering sunburns is at significant risk for skin cancer due to excessive UV exposure and history of severe sunburns.

A. VII B. X C. I D. II

Correct Answer is A

Explanation

A. Cranial nerve VII (facial nerve) is not primarily responsible for hearing; however, it does have some sensory function in the ear region. The primary cranial nerve responsible for hearing is cranial nerve VIII (vestibulocochlear), which is not listed among the options.

B. Cranial nerve X (vagus nerve) is primarily involved in autonomic functions and does not directly relate to hearing.

C. Cranial nerve I (olfactory nerve) is responsible for the sense of smell.

D. Cranial nerve II (optic nerve) is responsible for vision.

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Correct Answer is ["C","D","E"]

Explanation

Correct Answer is A

Explanation

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The nurse is working with a group of clients. Which clients are at risk for developing skin cancer? Which assessment findings are at risk for skin cancer (Select all 3 that apply)?

Correct Answer is ["C","D","E"]

Explanation

When hearing is evaluated, which cranial nerve is being tested?

Correct Answer is A

Explanation

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