Which of the following symptoms should a nurse associate with increased levels of thyroid-stimulating hormone (TSH) in a newly admitted client? Select all that apply
A. Depression
B. Fatigue
C. Increased libido
D. Mania
E. Hyperexcitability
ANS: A, B
The nurse should associate depression and fatigue with increased levels of TSH. TSH is only increased when thyroid levels are low, as in the diagnosis of hypothyroidism. In addition to depression and fatigue, other symptoms such as decreased libido, memory impairment, and suicidal ideation are also associated with chronic hypothyroidism.
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A client complains of a cloudy vaginal discharge with a slight odor. Microscopic examination reveals epithelial cells, leukocytes, and normal vaginal flora. Given these findings, the nurse would assesses that the discharge is
a. candidiasis. b. Chlamydia. c. Gardnerella. d. leukorrhea.
Which is likely to cause orthostatic hypotension in older adult patients?
1) Decreased baroreceptor response 2) Decreased compliance/stiffer vessels 3) Increased peripheral vascular resistance 4) Rigid arteries
When conflict arises between individual nurses what is the best way for a nurse manager to handle
the conflict? A) Allow the nurses to work through their own problem without interfering. B) Try to determine which nurse began the conflict and counsel that nurse. C) Deal with the issue and not the emotions. D) Arrange a meeting of the nursing team to discuss the conflict so that some resolution can be reached.
The nurse is helping a group of parents understand the concept or play. Which is the best example of parallel play?
A) Children are playing apart from others without being part of a group B) Children are playing together in an activity without organization C) Children are playing in an organized group with each other D) Children are playing independently and are side by side