Myxedema is the most severe form of hypothyroidism. Which signs are related to this condition?

a. Doughy skin
b. Increased body hair
c. Skin hot to the touch
d. Decreased body weight


ANS: A
On examination, the nurse may find skin changes associated with myxedema, the most severe form of hypothyroidism. These changes include nonpitting edema, doughy skin, puffy face, large tongue, decreased body hair, and cool, dry skin.

Nursing

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While explaining to a group of nursing students what the function of the first mucosal layer of the lower two thirds of the esophagus, the pathophysiology instructor mentions which of the following functions? Select all that apply

A) Secretion of mucus to lubricate and protect the inner surface of the alimentary canal B) Smooth muscle cells that facilitate movement of contents of the GI tract C) Holding the organs in place and storage of fats D) Barrier to prevent the entry of pathogenic organisms E) A cushioning to protect against injury from sports or car accidents

Nursing

On admission to the ER, the patient with a compression fracture at C5 can move only his head and has flaccid paralysis of all extremities. The distraught family asks if the paralysis is permanent. The nurse's best response would be:

1. "Yes. In all likelihood, the paralysis is probably permanent." 2. "No. There should be marked recovery of function in a few days." 3. "It is too early to tell. When spinal shock subsides, we will know more." 4. "You should talk to your doctor about things of that nature."

Nursing

The nurse identifies the following assessment findings on a client with preeclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+ on dipstick; and edema of the hands, ankles, and feet

On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the preeclampsia? A. Blood pressure 158/104 B. Urinary output 20 mL/hour C. Reflexes 2+ D. Platelet count 150,000

Nursing

16. A child is diagnosed with hyperthyroidism. Which agent would the nurse expect the physician to prescribe?

A) Mineralocorticoid B) Methimazole C) Levothyroxine D) Dexamethasone

Nursing