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ATI Med Surg Woolery Q5 Questions

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Question 1 of 5

A client is experiencing tachycardia and tremors. Lab values show elevated Free T4 and low thyroid stimulating hormone (TSH). Which diagnostic study will help the practitioner differentiate Graves' disease from other forms of hyperthyroidism?

Correct Answer: B

Rationale: RAIU test (
B) differentiates Graves' disease (high uptake) from other hyperthyroidism causes. Levothyroxine test (
A) is irrelevant. ACTH test (
C) assesses adrenal function. Thyroidectomy (
D) is a treatment, not a diagnostic test.

Question 2 of 5

A nurse is caring for a female client who has a diagnosis of Cushing syndrome. The client is embarrassed that she is experiencing hirsutism and severe acne. The nurse understands that these manifestations are caused by which of the following?

Correct Answer: B

Rationale: Hirsutism and acne in Cushing syndrome are caused by excess adrenal androgens (
B). Mineralocorticoids (
A) affect fluid balance. Thyroid hormone (
C) is unrelated. Glucocorticoids (
D) cause other symptoms, not these.

Question 3 of 5

A client with a history of hypothyroidism has accidentally been taking double her prescribed dose of levothyroxine. Which assessment findings would the nurse expect due to an excess of this medication?

Correct Answer: B

Rationale: Excess levothyroxine causes hyperthyroid symptoms like nervousness and tachycardia (
B). Weight gain and lethargy (
A) indicate hypothyroidism. Facial puffiness and constipation (
C) are hypothyroid symptoms. Hypotension and cold intolerance (
D) are associated with hypothyroidism, not excess levothyroxine.

Question 4 of 5

Which pharmacologic therapy does the nurse anticipate administering to a client who is experiencing acute thyrotoxicosis?

Correct Answer: C

Rationale: Ketoconazole (
C) inhibits thyroid hormone production, used in acute thyrotoxicosis. Acetaminophen (
A) treats fever, not thyrotoxicosis. Furosemide (
B) is a diuretic. Levothyroxine (
D) treats hypothyroidism.

Question 5 of 5

A client in a primary care provider's office has a new diagnosis of hypothyroidism. The nurse understands that the client should be screened for which of the following conditions common in people who have hypothyroidism?

Correct Answer: B

Rationale: Hypothyroidism reduces metabolism, increasing cholesterol and triglycerides, necessitating hyperlipidemia screening (
B). Hyperthermia (
A) is incorrect; hypothermia is more likely. Agitation (
C) and insomnia (
D) are associated with hyperthyroidism.

Similar Questions

A client complaining of weight gain and acne undergoes laboratory testing, which reveals elevated cortisol levels and hyperglycemia. The client has no prior medical history, and does not take any medications. After further testing and imaging to determine the cause of the elevated cortisol levels, the client is diagnosed with Cushing disease caused by a pituitary adenoma. Which of the following statements should the nurse include when teaching the client about this diagnosis?
A nurse is caring for a client who has developed Cushing syndrome due to long-term corticosteroid therapy to treat multiple sclerosis. The nurse understands that Cushing syndrome puts the client at increased risk for which complication?
Select the 3 interventions that the nurse should anticipate for this client.
The patient is returning to the unit after undergoing a bilateral adrenalectomy. Which clinical manifestation would indicate that the client is experiencing an Addisonian crisis?
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?

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