The physician orders laboratory tests to confirm hyperthyroidism in a female client with classic signs and symptoms of this disorder. Which test result would confirm the diagnosis?

Correct Answer: B

Rationale: The correct answer is B: A decreased TSH level. In hyperthyroidism, there is an overproduction of thyroid hormones, leading to a negative feedback loop that suppresses the release of TSH from the pituitary gland. Therefore, a decreased TSH level is indicative of hyperthyroidism. Rationale: 1. A: No increase in TSH level after 30 minutes during TSH stimulation test - In hyperthyroidism, the TSH level would already be low, so no increase would be expected. 2. C: An increase in TSH level after 30 minutes during TSH stimulation test - This contradicts the pathophysiology of hyperthyroidism where TSH is suppressed. 3. D: Below-normal levels of serum T3 and T4 - While low T3 and T4 levels can occur in hypothyroidism, in hyperthyroidism, there is typically an excess of these hormones. In summary, a decreased TSH

Correct Answer: B

Rationale: The correct answer is B: Night sweat. Night sweats are a common early symptom of Hodgkin's disease, particularly in stage 1. This can be due to the body's response to the cancer cells. Pericarditis (A) is inflammation of the lining around the heart and is not typically an early symptom of Hodgkin's disease. Splenomegaly (C) is enlargement of the spleen, which can occur in later stages of the disease. Persistent hypothermia (D) is not a common symptom of Hodgkin's disease. Night sweats are a key indicator for healthcare providers to consider further evaluation for Hodgkin's disease.

Correct Answer: A

Rationale: The correct answer is A: Provide frequent mouthwash with normal saline. Normal saline is a gentle and effective solution for promoting oral hygiene and comfort in stomatitis. It helps to cleanse the mouth, reduce inflammation, and provide relief. Frequent mouthwash with normal saline helps to keep the oral cavity clean and maintain moisture without causing irritation. Summary: - Choice B: Applying viscous Lidocaine may provide temporary pain relief but does not address oral hygiene. - Choice C: Lemon glycerine swabs can be irritating to oral ulcers and may worsen the condition. - Choice D: Rinsing the mouth with Hydrogen Peroxide can be too harsh and may further irritate the oral ulcers.

Correct Answer: B

Rationale: The correct answer is B: Altered level of consciousness. Hepatic encephalopathy is characterized by cognitive impairment and changes in consciousness due to liver dysfunction. It is the most common clinical manifestation seen in patients with this condition. Increased urine output (A), decreased tendon reflex (C), and hypotension (D) are not typical features of hepatic encephalopathy. Altered level of consciousness is directly related to the toxic effects of ammonia on the brain, which is the underlying mechanism in hepatic encephalopathy.

Correct Answer: B

Rationale: Step 1: The role of a technician involves providing direct care and assistance to clients. Step 2: Feeding and bathing a catatonic client falls under the scope of direct care. Step 3: Administering medications (Choice A) is typically done by nurses. Step 4: Coordinating care (Choice C) involves more of a managerial or leadership role. Step 5: Disseminating information (Choice D) is usually done by educators or counselors. In summary, choice B is correct as it aligns with the direct care responsibilities of a technician, while the other choices involve tasks typically performed by different healthcare professionals.