When caring for a female client who is being treated for hyperthyroidism, it is important to:

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Question 1 of 5

When caring for a female client who is being treated for hyperthyroidism, it is important to:

Correct Answer: B

Rationale: The correct answer is B because monitoring for signs of restlessness, sweating, and excessive weight loss is crucial during thyroid replacement therapy for a female client with hyperthyroidism. Restlessness and sweating can indicate hyperthyroidism symptoms worsening, while excessive weight loss may suggest overmedication. Providing extra blankets (A) is unnecessary as hyperthyroidism typically causes heat intolerance. Balancing activity and rest (C) is important but not as critical as monitoring for specific symptoms. Encouraging activity (D) may exacerbate symptoms like fatigue and muscle weakness in hyperthyroidism.

Question 2 of 5

Mr. Vasquez 56-year-old client with a 40-year history of smoking one to two packs of cigarettes per day has a chronic cough producing thick sputum, peripheral edema and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?

Correct Answer: C

Rationale: Step 1: Mr. Vasquez has a chronic cough producing thick sputum, which is a common symptom of chronic bronchitis. Step 2: Peripheral edema and cyanotic nail beds indicate poor oxygenation, a characteristic of chronic bronchitis. Step 3: Chronic bronchitis is characterized by inflammation of the bronchial tubes, leading to excessive mucus production. Step 4: Chronic bronchitis is often caused by long-term smoking, which Mr. Vasquez has a 40-year history of. Step 5: Therefore, the most likely condition Mr. Vasquez has is chronic obstructive bronchitis (Choice C). Summary: A: ARDS is an acute condition usually caused by severe injury or illness, not chronic smoking. B: Asthma typically presents with wheezing and shortness of breath, not chronic cough with sputum. D: Emphysema is characterized by damage to the air sacs in the lungs

Question 3 of 5

A 35-year-old client with vaginal cancer asks the nurse, "What is the usual treatment for this type of cancer?" Which treatment should the nurse name?

Correct Answer: C

Rationale: The correct answer is C: Radiation. Vaginal cancer is commonly treated with radiation therapy because it allows for targeted treatment to the affected area. It is effective in killing cancer cells and reducing the size of tumors. Surgery (choice A) may be considered depending on the stage of cancer, but radiation is often the primary treatment. Chemotherapy (choice B) and immunotherapy (choice D) are not typically used as first-line treatments for vaginal cancer. Chemotherapy may be used in advanced stages or in combination with radiation, while immunotherapy is still being studied for its effectiveness in treating this type of cancer.

Question 4 of 5

A female client with cancer is being evaluated for possible metastasis. Which of the following is one of the most common metastasis sites for cancer cells?

Correct Answer: A

Rationale: The correct answer is A: Liver. Cancer cells commonly metastasize to the liver due to its rich blood supply and filtering function. This allows cancer cells to easily travel through the bloodstream and settle in the liver. Other choices, such as B: Colon, and C: Reproductive tract, are possible metastatic sites but are not as common as the liver. Choice D: White blood cells (WBCs) is incorrect as WBCs are part of the immune system and not a typical site for cancer metastasis.

Question 5 of 5

Mrs. Cruz uses a cane for assistance in walking. Which of the following statements is true about a cane or other assistive devices?

Correct Answer: C

Rationale: The correct answer is C: The cane should be used on the unaffected side. This is because when using a cane, it should be placed on the side opposite the affected or weaker side to provide additional support and balance. Placing the cane on the unaffected side helps to reduce pressure on the affected side and provides more stability during walking. A is incorrect because the choice between a cane and a walker depends on the individual's specific needs and abilities. B is incorrect as placing the cane on the affected side would not provide optimal support and balance. D is incorrect as using a cane can help reduce stress on joints in clients with osteoarthritis, making it a helpful assistive device.

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