Question

Please answer the following:

1. Which of the following is a life-threatening emergency and serious complication of untreated or poorly treated hypothyroidism?

1. Endemic goiter
2. Thyroiditis
3. Myxedema coma
4. Multinodular toxic goiter

2. Kim is a 28-year-old female who presented to the emergency room with complaints of abdominal pain, nausea, and vomiting for the past 24 hours. Kim is afebrile, heart rate is 130 BPM, and blood pressure is 90/60 MM HG. During the pain assessment, Kim rates her pain attend on a scale 0-10. You note her pain to be in the periumbilical region. Based on the assessment findings, which of the following would you anticipate being Kim's diagnosis.

1. Peritonitis
2. Appendants
3. Crohn's disease
4. Ulcerative colitis

3. A nurse assesses a patient who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. What action would the nurse take first?

1. Document the finding in the patient’s chart
2. Compare extremities for deficiencies
3. Examine the patient's feet for signs of injury
4. Notify the health care provider

4. Which of the following is a main assessment finding in a client with hypothyroidism?

1. irritability
2. cold intolerance
3. Constipation
4. fatigue

5. What Instructions does the nurse include in when teaching the diabetic client about proper foot care?

1. use rubbing alcohol to help make the skin on the soles of the feet thicker
2. wear open toed shoes or sandals when it's warm outside to prevent perspiration
3. use moisturizing cream on feet after bathing but not in between toes
4. use cold water for bathing the feet to prevent a thermal injury

6. A nurse is caring for a patient who has been diagnosed with diabetes type 2. Which of the following should not be included in the discharge instructions?

1. Monitor blood glucose
2. Adhere to dietary modifications
3. Increase physical activity
4. Restrict fluid intake

7. A nurse teaches a patient who was diagnosed with diabetes melittids. Which statement would the nurse include in this patient's plan of care to delay the onset of microvascular and macrovascular complications?

1. “maintain tight glycemic control and prevent hyperglycemia”
2. “restrict your fluid intake to no more than two liters a day”
3. “prevent hypoglycemia by eating a bedtime snack”
4. “limit your intake of protein to prevent ketoacidosis”

8. You are the nurse providing care for a patient who underwent thyroidectomy two days ago. To Prevent complications with this surgery, which laboratory value requires close monitoring by a nurse?

1. Calcium level
2. Sodium level
3. Potassium level
4. Lactate level

9. Maria is a 45-year-old Hispanic female who presented to the emergency Department with epigastric pain she states that the pain is worse after eating Maria has a history of obesity and diabetes Maria was diagnosed with gastroesophageal reflux disease which of the following would be a treatment? (Select all that apply)

1. diet and lifestyle modifications
2. gastrectomy
3. protein pump inhibitors
4. prostaglandins

10. A nurse is caring for a patient who has recently been diagnosed with gastroesophageal reflux disease. Which of the following is the surgical management approach for patients with this condition?

1. Nissen fundoplication
2. Endoluminal fundoplication
3. Vagotomy
4. Gastroenterostomy

11. A nurse is providing discharge instructions to a patient recently diagnosed with peptic ulcer disease. Which of the following should not be part of the discharge instructions?

1. avoid spicy foods
2. resume alcohol in moderation
3. follow medications as prescribed
4. signs and symptoms to report

Answer 1

1.Which of the following is a life-threatening emergency and serious complication of untreated or poorly treated hypothyroidism?

• Endemic goiter- It is an iodine deficiency diseaseoccuring in areas where iodine content is low in soil. It is not a life threatening condition and can be treated with iodine supplement
• Thyroiditis- It is inflammation of the thyroid gland And can be cured by treating the cause of inflammation. it is not life threatening condition.
• Myxedema coma- It is a condition of extreme hypothyroidism slowing down the funstion of multiple vital organs. It is extremely lethal and life threatening condition.
• Multinodular toxic goiter- It is a condition in which there are multiple nodules in the thyroid gland producing excessive thyroid hormone (Hyperthyroidism). It can be corrected and is not a life threatening condition.

2. Kim is a 28-year-old female who presented to the emergency room with complaints of abdominal pain, nausea, and vomiting for the past 24 hours. Kim is afebrile, heart rate is 130 BPM, and blood pressure is 90/60 MM HG. During the pain assessment, Kim rates her pain attend on a scale 0-10. You note her pain to be in the periumbilical region. Based on the assessment findings, which of the following would you anticipate being Kim's diagnosis.

• Peritonitis - It is Incorrect as peritonitis is accompanied by fever and chills along with abdominal pain.
• Appendicitis- Is Correct assessment as Pain is periumbilical and accompanied nausea and vomiting.
• Crohn's disease- It is incorrect as nausea and vomiting is not present in chorn's disease and pain in in lower abdominal region
• Ulcerative colitis- It is incorrect because it is accompanied by diarrhoea, cramping pain and urgency to defecate.

3. A nurse assesses a patient who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. What action would the nurse take first?

• Document the finding in the patient’s chart- Second This will be done by nurse
• Compare extremities for deficiencies
• Examine the patient's feet for signs of injury- First nurse will examin feet for sign of injury Diabetic neuropathy makes the client more prone to injury and feet are affected the most
• Notify the health care provider- Third she will notify the physician about the change.

4. Which of the following is a main assessment finding in a client with hypothyroidism?

All the below mentioned symptoms are present in patient with hypothyroidism. Fatigue is the main finding as it is the first symptom to be seen in underactive thyroid patient therefore leading to early identification and correction of problem

• irritability
• cold intolerance
• Constipation
• fatigue- Correct option explained above.

5. What Instructions does the nurse include in when teaching the diabetic client about proper foot care?

• use rubbing alcohol to help make the skin on the soles of the feet thicker
• wear open toed shoes or sandals when it's warm outside to prevent perspiration
• use moisturizing cream on feet after bathing but not in between toes- Moiturizing in between the toes can cause fungal infection
• use cold water for bathing the feet to prevent a thermal injury

6. A nurse is caring for a patient who has been diagnosed with diabetes type 2. Which of the following should not be included in the discharge instructions?

• Monitor blood glucose
• Adhere to dietary modifications
• Increase physical activity
• Restrict fluid intake- people with diabetes require more fluid as it helps kidney to flush excessive glucose and also high glucose levels increase the risk of dehydration in patient so fluid restriction is not included in discharge instruction.