Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which is a major side effect of radioactive iodine treatment for hyperthyroidism?
A. TSH low,T3 & T4 elevated
Elevated T3 and T4 with low TSH levels are indicative of hyperthyroidism, not a side effect of radioactive iodine treatment.
B. TSH elevated, T3 & T4 low
One of the expected side effects of RAI treatment for hyperthyroidism is permanent hypothyroidism (or underactive thyroid, when the thyroid does not produce enough hormones). Elevated TSH levels with low T3 and T4 are indicative of hypothyroidism.
C. TSH,T3 & T4 low
Low TSH, T3, and T4 levels are not typical outcomes of radioactive iodine treatment; typically, the treatment leads to a decrease in T3 and T4 with increased TSH levels.
D. TSH, T4 elevated and T3 low
Elevated TSH and low T3 is major side effect of radioactive iodine treatment for hyperthyroidism. However, it does not cause elevated T4 levels.
This question is an excerpt from Nurse Dive's nursing test bank - Interprofessional Care of the Client and Family Across the Lifespan II Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale: Elevated T3 and T4 with low TSH levels are indicative of hyperthyroidism, not a side effect of radioactive iodine treatment.
Choice B rationale: One of the expected side effects of RAI treatment for hyperthyroidism is permanent hypothyroidism (or underactive thyroid, when the thyroid does not produce enough hormones). Elevated TSH levels with low T3 and T4 are indicative of hypothyroidism.
Choice C rationale: Low TSH, T3, and T4 levels are not typical outcomes of radioactive iodine treatment; typically, the treatment leads to a decrease in T3 and T4 with increased TSH levels.
Choice D rationale: Elevated TSH and low T3 is major side effect of radioactive iodine treatment for hyperthyroidism. However, it does not cause elevated T4 levels.
Similar Questions
You're planning your medication teaching for your patient with a UTI prescribed phenazopyridine (Pyridium). What do you include?
A. "Your urine might turn bright orange."
Phenazopyridine can cause a harmless side effect of turning urine a reddish-orange color.
B. "Don't take this drug if you're allergic to penicillin."
Phenazopyridine is not contraindicated in individuals allergic to penicillin.
C. "You need to take this antibiotic for 7 days."
Phenazopyridine is not an antibiotic; it's a medication used to relieve urinary pain. Antibiotics are prescribed separately to treat UTIs.
D. "Take this drug between meals and at bedtime."
Phenazopyridine should be taken with food or after eating to minimize stomach upset, but it doesn't need to be taken between meals or at bedtime.
Full Explanation
Choice A rationale: Phenazopyridine can cause a harmless side effect of turning urine a reddish-orange color.
Choice B rationale: Phenazopyridine is not contraindicated in individuals allergic to penicillin.
Choice C rationale: Phenazopyridine is not an antibiotic; it's a medication used to relieve urinary pain. Antibiotics are prescribed separately to treat UTIs.
Choice D rationale: Phenazopyridine should be taken with food or after eating to minimize stomach upset, but it doesn't need to be taken between meals or at bedtime.
Mr Ozz, a 45-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830.
The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:
A. 1530 and 2130
This does not match the peak time of NPH insulin.
B. 1730 and 2330
This does not match the peak time of NPH insulin.
C. 1130 and 1330
This does not match the peak time of NPH insulin.
D. 1330 and 1930
This is because NPH insulin is an intermediate-acting insulin that has an onset of action of 1 to 2 hours, a peak of 6 to 12 hours, and a duration of 18 to 24 hours. Therefore, if Albert is given NPH insulin at 0730, the peak effect will occur between 1330 and 1930, which means that his blood glucose level will be lowest during this time.
Full Explanation
Choice A rationale: This does not match the peak time of NPH insulin.
Choice B rationale: This does not match the peak time of NPH insulin.
Choice C rationale: This does not match the peak time of NPH insulin.
Choice D rationale: This is because NPH insulin is an intermediate-acting insulin that has an onset of action of 1 to 2 hours, a peak of 6 to 12 hours, and a duration of 18 to 24 hours. Therefore, if Albert is given NPH insulin at 0730, the peak effect will occur between 1330 and 1930, which means that his blood glucose level will be lowest during this time.
The medical reports of a client who suffered an accident show injuries at the sixth thoracic vertebra, lack of normal sympathetic outflow, bradycardia and low blood pressure. Which condition does the nurse suspect in the client?
A. Conus medullaris syndrome
Conus medullaris syndrome involves injury or compression to the end portion of the spinal cord and can present with various symptoms but not necessarily lack of normal sympathetic outflow leading to shock.
B. Concussion
Concussion is a mild traumatic brain injury, and the symptoms described align more with spinal cord injury leading to neurogenic shock.
C. Neurogenic shock
Neurogenic shock occurs due to the loss of sympathetic tone and is characterized by bradycardia, low blood pressure, and vasodilation following spinal cord injury at or above the level of the sixth thoracic vertebra.
D. Diffuse axonal injury
Diffuse axonal injury typically presents with more widespread brain injury-related symptoms and is not associated with the specific spinal cord-related symptoms described.
Full Explanation
Choice A rationale: Conus medullaris syndrome involves injury or compression to the end portion of the spinal cord and can present with various symptoms but not necessarily lack of normal sympathetic outflow leading to shock.
Choice B rationale: Concussion is a mild traumatic brain injury, and the symptoms described align more with spinal cord injury leading to neurogenic shock.
Choice C rationale: Neurogenic shock occurs due to the loss of sympathetic tone and is characterized by bradycardia, low blood pressure, and vasodilation following spinal cord injury at or above the level of the sixth thoracic vertebra.
Choice D rationale: Diffuse axonal injury typically presents with more widespread brain injury-related symptoms and is not associated with the specific spinal cord-related symptoms described.