A patient asks about his laboratory test, which showed a high level of thyroid-stimulating hormone (TSH) and a low level of T4 . What is the most accurate explanation?
a. "It means that you have an inconsistency in your thyroid tests, and you will need more testing."
b. "I am sorry. You will have to ask your physician about your laboratory results. We are not allowed to discuss them."
c. "The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn't producing enough hor-mone."
d. "That means that you will have to go on hormone therapy for the rest of your life."
C
The test determines whether the problem is in the pituitary gland or in the thyroid gland. In this patient, the high level of TSH is coming from the pituitary gland as it should, but the thyroid gland is not responding with adequate hormone production.
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While visiting an Asian-American family in their home, the community health nurse inspects the skin of the 3-year-old child and notices a bruise-like lesion on the child's abdomen
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A nurse is caring for a dying client following myocardial infarction. The client is experiencing apnea with a falling blood pressure of 60 per palpation. Which documentation of pulse quality does the nurse anticipate?
A) Bounding pulse B) Weak pulse C) Thready pulse D) A pulse deficit
A laboring client's obstetrician has suggested amniotomy as a method for inducing labor. Which assessment(s) must be made just before the amniotomy is performed?
1. Maternal temperature, BP, and pulse 2. Estimation of fetal birth weight 3. Fetal presentation, position, and station 4. Biparietal diameter
A family desires genetic testing for their adolescent. What response by the clinic nurse is appropriate?
1. "The child is a minor and cannot give consent." 2. "It is not advisable because insurance does not pay for this test." 3. "Let me discuss this with the adolescent and then we can discuss it more fully." 4. "There is a chance the adolescent might be discriminated against because of the test."