Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
A. Lethargy
Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B. Photophobia
Photophobia is not typically associated with hypothyroidism.
C. Weight loss
Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D. Exophthalmos
Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Med Surg Proctored Exam 8. Take the full exam now
Full Explanation
A. Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B. Photophobia is not typically associated with hypothyroidism.
C. Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D. Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.
Similar Questions
A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?
A. A client who has a calcium of 9.8 mg/dL
Normal calcium levels are not indicative of hypoparathyroidism.
B. A client who has a phosphate of 5.7 mg/dL
A manifestation of hypoparathyroidism would be a high phosphate level due to the low production of parathyroid hormone, which is responsible for regulating calcium and phosphate levels. It leads to reduced phosphate excretion.
C. A client who has a magnesium of 1.8 mEq/L
Low magnesium levels are not indicative of hypoparathyroidism.
D. A client who has a vitamin D of 25 ng/ml
Normal vitamin D levels are not indicative of hypoparathyroidism.
Full Explanation
A. Normal calcium levels are not indicative of hypoparathyroidism.
B. A manifestation of hypoparathyroidism would be a high phosphate level due to the low production of parathyroid hormone, which is responsible for regulating calcium and phosphate levels. It leads to reduced phosphate excretion.
C. Low magnesium levels are not indicative of hypoparathyroidism.
D. Normal vitamin D levels are not indicative of hypoparathyroidism.
A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?
A. Urine output is less than 400 mL per 24 hr.
Oliguria, characterized by urine output less than 400 mL per 24 hours, is a hallmark of the oliguric phase of acute kidney injury.
B. BUN and creatinine levels decrease.
BUN and creatinine levels typically increase during the oliguric phase due to decreased kidney function.
C. Renal function is reestablished.
Renal function is not reestablished during the oliguric phase; this phase represents reduced kidney function.
D. The glomerular filtration rate (GFR) recovers
The glomerular filtration rate remains decreased during the oliguric phase.
Full Explanation
A. Oliguria, characterized by urine output less than 400 mL per 24 hours, is a hallmark of the oliguric phase of acute kidney injury.
B. BUN and creatinine levels typically increase during the oliguric phase due to decreased kidney function.
C. Renal function is not reestablished during the oliguric phase; this phase represents reduced kidney function.
D. The glomerular filtration rate remains decreased during the oliguric phase.
A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for?
A. Decreased calcium level
Postoperative ileus and NG tube drainage are not typically associated with decreased calcium levels.
B. Decreased potassium level
The nurse should monitor for electrolyte imbalances, particularly a decreased potassium level. This is because the gastrointestinal tract, especially the stomach, contains a high concentration of potassium, and substantial losses can occur with ongoing gastric suctioning.
C. Elevated sodium level
NG tube drainage does not typically result in elevated sodium levels.
D. Elevated magnesium level
NG tube drainage does not typically result in elevated magnesium levels.
Full Explanation
A. Postoperative ileus and NG tube drainage are not typically associated with decreased calcium levels.
B. The nurse should monitor for electrolyte imbalances, particularly a decreased potassium level. This is because the gastrointestinal tract, especially the stomach, contains a high concentration of potassium, and substantial losses can occur with ongoing gastric suctioning.
C. NG tube drainage does not typically result in elevated sodium levels.
D. NG tube drainage does not typically result in elevated magnesium levels.