A patient with suspected hyperthyroidism is scheduled for a radioactive iodine uptake test. What symptoms of hyperthyroidism should the nurse note on the medical record? (Select all that apply.)

a. Fatigue
b. Tremor
c. Weight loss
d. Constipation
e. Buffalo hump
f. Cold intolerance


ANS: A, B, C
Weight loss, fatigue, heat intolerance, tremor, increased pulse and blood pressure, and agitation or nervousness may be seen with hyperthyroidism. D. F. Cold intolerance and constipation are seen with hypothyroidism. E. Buffalo hump is seen in Cushing's syndrome.

Nursing

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The nurse reviews a client's laboratory results before surgery and notes a fasting blood glucose of 120 mg/dL, a prothrombin time (PT) of 25 seconds, and potassium (K+) of 3.8 mEq/L. Which action by the nurse is best?

a. Ask the surgeon for additional laboratory studies. b. Administer a potassium supplement of 20 mEq. c. Increase the IV infusion of D5W to 100 mL/hr. d. Record laboratory results on the preopera-tive assessment.

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Which does the nurse include in the plan of care for a client with fluid volume deficit?

1. Has skin tenting over sternum in 24 hours 2. Mucous membranes dry out within 8 hours 3. Urine specific gravity increases in 12 hours 4. BUN decreases to normal levels in 24 hours

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The primary goal of a psychiatric rehabilitation program is to promote:

A) Family involvement B) Medication compliance C) Recovery from mental illness D) Stabilization of symptoms

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