ati week 6 quiz practice questions

Which nursing action will be included in the plan of care for a patient with Graves' disease who is Exopathalamos?

Elevate the head of the patient's bed to reduce Periorbital fluid

Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse should contact the healthcare provider before administering levothyroxine

Elevated TSH levels

A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of Levothyroxine. Which of the following manifestations should the nurse expect

Heat intolerance

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medication should the nurse prepare to instruct the client

Levothyroxine

A patient is being admitted with a diagnosis of Cushing's syndrome which findings would be expected during the assessment

Purple streaks on the Abdomen

A nurse is teaching about level thyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client

Tremors, nervousness, and insomnia may indicate your dose is too high

A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

lethargy

a nurse is caring for a client who is 8 hours postop following a subtotal thyroidectomy. in which of the following positions should the nurse keep the client?

semi fowler's with neck in neutral position

a nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements?

soy

a nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6. which of following findings should the nurse expect?

tingling of the extremities

A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?

weight gain

a nurse is caring for a client who has Addison's disease and is at risk for addisonian crisis. which of the following actions should the nurse take?

weight the client daily

A nurse is assisting a client who has hypothyroidism with meal planning. Which of the following food to the nurse recommend the client add to her diet?

whole grains

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as a priority to monitor

Airway patency

Which information will the nurse teach a patient who has been newly diagnosed with Graves' disease

Anti-thyroid medication may take several months for full effect

Which nursing assessment of a 70-year-old patient is most important to make during initiation of thyroid replacement with levothyroxine

Apical pulse

A patient has just arrived on the unit after a thyroidectomy which action should the nurse take first

Assess the patient's respiratory effort

A nurse is caring for a client who is one day post operative following a sub total thyroidectomy. The client reports a tingling sensation in the hands the soles of the feet and around the lips. For which of the following findings should the nurse assess the client?

CHVOSTEK'S sign

A patient who had radical neck surgery to remove a malignant tumor developed hypo parathyroidism. The nurse should plan to teach the patient about

Calcium supplements to normalize serum calcium levels

A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following intervention should the nurse include in the plan?

Check the clients voice every two hours

An 82-year-old patient is in long-term care facility and is newly diagnosed with hypothyroidism. The nurse will need to consult with the healthcare provider before administering the prescribed

Diazepam

A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect

Heat intolerance

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following should the nurse expect

Hyper pigmentation

The nurse admits a patient to the hospital in addisonian crisis. Which of the following statements supports the need to plan additional teaching

I had the flu earlier this week so I couldn't take Hydrocortisone

Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency

Increasing serum sodium levels

A nurse is caring for a client who has developed agranulocytosis as a result of taking PTU to treat hyperthyroidism. The nurse should understand that this client is at an increased risk for which of the following conditions

Infection

a staff nurse is teaching a client who has addison's disease about the disease process. the client asks the nurse what causes addison's disease. which of the following responses should the nurse make?

It is caused by the lack of production of aldosterone by the adrenal gland

A nurse is caring for a client who is in myexedma Coma. Which of the following actions should the nurse take?

Place the client on aspiration precautions

A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 KG or 12 pounds in the last 2 months, increased appetite, increased prespiration, fatigue, menstrual irregularity, and restlessness. which of the following actions should the nurse take to prevent a thyroid crisis?

Provide a quiet, low stimulus

A patient who was admitted with myexedma coma And diagnosed with hypothyroidism is improving. Discharge is expected to occur in two days. Which teaching strategy is likely to result in effective patient self management at home

Provide written reminders of information

A 44-year-old female patient with Cushing's syndrome is admitted for adrenal ectomy. Which intervention by the nurse would be most helpful for the patient problem of disturbed body image related to changes in appearance

Remind the patient that most of the physical changes caused by Cushing's syndrome or resolved after surgery

A nurse is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching

Restrict sodium intake

A nurse is caring for a client one hour following a sub total thyroidectomy. In which of the following position should the nurse place the client?

Semi Fowler's

A nurse is in a clinic and reviewing the lab values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following lab values?

TSH

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Teach the parents about cortisol replacement therapy

Which assessment finding for 33-year-old female patient admitted with Graves' disease requires the most rapid intervention by the nurse

Temperature of 103.8 Fahrenheit

A nurse is caring for a client who is one day post operative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take

Verify the most recent calcium level

a nurse is caring for a client who has cushing's syndrome. which of the following interventions should the nurse expect to perform? (select all that apply)

assess blood glucose level

a nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

decrease in the level of TSH

a nurse is assessing a client who has grave's disease. the nurse should expect which of the following lab results?

decreased TSH level

a nurse is assessing a client who has myxedema. which of the following findings should the nurse expect?

facial edema

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

frequent mood changes

a nurse is assessing a client who has cushing's syndrome. which of the following findings should the nurse expect?

hyperpingemation

a nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. the nurse should recognize which of the following findings is a therapeutic response to this medication?

increase energy

a nurse is assessing a client who is taking levothyroixine. the nurse should recognize that which of the following findings is a manifestations of levothyroixine overdose?

insomnia

a nurse is caring for a client who is experiecing cushing's triad following a subdural hematoma. which of the following medications should the nurse plan to adminster?

mannitol 25%

a nurse is caring for a client who has cuhsing's syndrome. The nurse should recognize that which of the following are manifestations of cushing's syndrome? (select all that apply)

moon face, purple striations, buffalo hump, alpoceia