ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 63 : Care of Patients with Problems of the Thyroid and Parathyroid Glands Questions
Question 1 of 5
A nurse assesses a client who is prescribed thyroid hormone replacement. Which finding indicates a therapeutic response to the medication?
Correct Answer: D
Rationale: Hypothyroidism decreases body functioning, leading to effects like bradycardia. A heart rate of 70 beats/min and regular while on thyroid hormone replacement indicates adequate dosing. Thirst, fluid intake, weight stability, and white blood cell count are not direct indicators of therapeutic response.
Question 2 of 5
A nurse cares for a client who has hypothyroidism as a result of Hashimoto's thyroiditis. The client asks, 'How long will I need to take this thyroid medication?' How should the nurse respond?
Correct Answer: C
Rationale: Hashimoto's thyroiditis causes permanent thyroid damage, requiring lifelong thyroid hormone replacement. The goiter may not resolve completely, antibodies do not cure thyroiditis, and blood cell count is unrelated to thyroid medication needs.
Question 3 of 5
A nurse assesses clients for potential endocrine disorders. Which client is at greatest risk for hyperparathyroidism?
Correct Answer: B
Rationale: Clients with chronic kidney disease have impaired vitamin D activation and calcium absorption, leading to chronic hypocalcemia, which overstimulates the parathyroid glands, causing hyperparathyroidism. Pregnancy-induced hypertension and oxygen therapy do not increase this risk.
Question 4 of 5
A nurse plans care for a client with hyperparathyroidism. Which intervention should the nurse include in this client's plan of care?
Correct Answer: B
Rationale: Hyperparathyroidism increases calcium resorption from bones, raising the risk of pathologic fractures. Using a lift sheet reduces the risk of bone injury during movement. Ambulation and oral care are not specific to this condition, and not all clients require urine straining.
Question 5 of 5
A nurse cares for a client who is recovering from a parathyroidectomy. When taking the client's blood pressure, the nurse notes that the client's hand has gone into flexion contractions. Which laboratory result does the nurse correlate with this condition?
Correct Answer: D
Rationale: Hypocalcemia, indicated by a serum calcium level of 6 mg/dL, destabilizes excitable membranes, leading to muscle spasms and tetany, such as Trousseau's sign (flexion contractions). Potassium, magnesium, and sodium levels listed are not directly related to this condition.