Correct Answer: A

Rationale: The symptoms of irritability, muscle weakness, tremors, weight loss despite increased appetite, along with elevated serum thyroid hormone levels and suppressed TSH levels, are indicative of hyperthyroidism. In hyperthyroidism, the thyroid gland produces an excess amount of thyroid hormone, leading to an overactive metabolism. This results in symptoms such as weight loss, tremors, irritability, and muscle weakness. The elevated levels of thyroid hormone are detected in the laboratory tests, along with low TSH levels due to negative feedback regulation. Therefore, the most likely endocrine disorder responsible for these symptoms is hyperthyroidism.

Correct Answer: B

Rationale: The client should be assisted to lie in bed on the unaffected side for a thoracentesis procedure. This position allows for better access to the pleural space for the insertion of a needle to aspirate the fluid or air. Gravity helps to separate the fluid or air, making it closer to the chest wall for easier removal. Additionally, this position reduces the risk of injury to the lung or other structures, as the needle is directed away from these vital structures. Lying on the unaffected side also helps in preventing potential complications and ensures the safety and effectiveness of the procedure.

Correct Answer: A

Rationale: The patient's presentation with a blood sugar level of 800mg/dL, absence of ketones in the urine, dehydration, and altered mental status points towards Hyperosmolar nonketotic coma (HNKC). HNKC typically occurs in patients with Type 2 diabetes and is characterized by extremely high blood glucose levels (hyperglycemia) without significant ketosis. The absence of ketones in the urine distinguishes HNKC from Diabetic ketoacidosis (DKA). Patients with HNKC often present with severe dehydration, altered mental status, and hyperosmolarity. It is crucial to address the underlying cause of the hyperglycemia, correct dehydration, and normalize blood glucose levels promptly in the management of HNKC.

Correct Answer: D

Rationale: While attending professional conventions, webinars, and symposiums are all valuable informal continuing education programs that can help nurses stay updated with the latest trends and developments in the field, doing research as an academic requirement is not typically considered an informal continuing education activity. Research is a formal process that involves structured methodologies and academic rigor. While research may be a valuable activity for professional growth, it is not usually classified under informal continuing education programs that nurses engage in to supplement their knowledge and skills.

Correct Answer: B

Rationale: A "full understanding" in research should be understood by the nurse researcher as explaining the study including risks and ben . When conducting research involving participants, it is crucial for nurse researchers to provide all necessary information about the study, including potential risks and benefits, in a clear and understandable manner. This ensures that participants are well-informed and can make informed decisions about their participation. By explaining the study thoroughly, nurse researchers uphold ethical principles such as informed consent and respect for participants' autonomy. It also helps in building trust between the researcher and participants, ultimately leading to more reliable and ethical research outcomes.